42D1002700 CLIA NUMBER - CAROLINA FAMILY MEDICINE OF LAURENS CO

Laboratory Demographics

  • CLIA Code: 42D1002700
  • Facility Name: CAROLINA FAMILY MEDICINE OF LAURENS CO
  • Facility Address: 600 PLAZA CIRCLE
    CLINTON, SC
    ZIP 29325
  • Facility Phone: 864 938-9690
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE L. HAGENBUCH MD
  • NPI Number: 1588246763
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 42D1002700
LAB Type Physician Office
Facility Name CAROLINA FAMILY MEDICINE OF LAURENS CO
Street 600 PLAZA CIRCLE
City CLINTON
State SC
ZIP 29325
Phone 864 938-9690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Physician Office
Lab Director MICHELLE L. HAGENBUCH MD

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This page was last updated on: 6/4/2025