Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
42D2092972
|
|
Clinical laboratory number
|
|
Lab Name
|
PRIMARY CARE AT SANTEE COOPER
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
803-773-5227
|
|
Laboratory telephone number
|
|
Fax
|
803-774-5400
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1013 PROFESSIONAL COURT
|
|
Primary location adress line
|
|
City
|
MANNING
|
|
Primary location city name
|
|
State
|
SC
|
|
Primary location state name
|
|
Zip
|
29102
|
|
Primary location postal code
|