42D0250767 CLIA NUMBER - ROPER SAINT FRANCIS PHYSICIANS NETWORK

Laboratory Demographics

  • CLIA Code: 42D0250767
  • Facility Name: ROPER SAINT FRANCIS PHYSICIANS NETWORK
  • Facility Address: 325 FOLLY ROAD, SUITE 102A
    CHARLESTON, SC
    ZIP 29412
  • Facility Phone: 843 762-1440
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MARIE NEILSEN
  • NPI Number: 1932340619
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 42D0250767
LAB Type Physician Office
Facility Name ROPER SAINT FRANCIS PHYSICIANS NETWORK
Street 325 FOLLY ROAD, SUITE 102A
City CHARLESTON
State SC
ZIP 29412
Phone 843 762-1440
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 DR. MARIE NEILSEN

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