42D0248828 CLIA NUMBER - MUSC HEALTH PRIMARY CARE-SUMMERS AVE

Laboratory Demographics

  • CLIA Code: 42D0248828
  • Facility Name: MUSC HEALTH PRIMARY CARE-SUMMERS AVE
  • Facility Address: 941 SUMMERS AVENUE
    ORANGEBURG, SC
    ZIP 29115
  • Facility Phone: 803 534-0437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FRANKLIN C. COULTER
  • NPI Number: 1609058254
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0248828
LAB Type Physician Office
Facility Name MUSC HEALTH PRIMARY CARE-SUMMERS AVE
Street 941 SUMMERS AVENUE
City ORANGEBURG
State SC
ZIP 29115
Phone 803 534-0437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Physician Office
Lab Director DR. FRANKLIN C. COULTER

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This page was last updated on: 9/29/2025