42D0250758 CLIA NUMBER - ROPER SAINT FRANCIS PHYSICIANS NETWORK

Laboratory Demographics

  • CLIA Code: 42D0250758
  • Facility Name: ROPER SAINT FRANCIS PHYSICIANS NETWORK
  • Facility Address: 16 WINDERMERE BLVD
    CHARLESTON, SC
    ZIP 29407
  • Facility Phone: 843 766-9053
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. STEPHEN BUSBY
  • NPI Number: 1760625024
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0250758
LAB Type Physician Office
Facility Name ROPER SAINT FRANCIS PHYSICIANS NETWORK
Street 16 WINDERMERE BLVD
City CHARLESTON
State SC
ZIP 29407
Phone 843 766-9053
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 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Physician Office
Lab Director DR. STEPHEN BUSBY

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