42D0250499 CLIA NUMBER - CHARLESTON OB/GYN, LLC

Laboratory Demographics

  • CLIA Code: 42D0250499
  • Facility Name: CHARLESTON OB/GYN, LLC
  • Facility Address: 776 DANIEL ELLIS DRIVE UNIT 3C
    CHARLESTON, SC
    ZIP 29412
  • Facility Phone: 843 740-6700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: W STANLEY OTTINGER
  • NPI Number: 1124771159
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 42D0250499
LAB Type Physician Office
Facility Name CHARLESTON OB/GYN, LLC
Street 776 DANIEL ELLIS DRIVE UNIT 3C
City CHARLESTON
State SC
ZIP 29412
Phone 843 740-6700
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director W STANLEY OTTINGER

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