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42D0250964 CLIA NUMBER - PALMETTO ADULT AND CHILDREN'S UROLOGY, PA

Laboratory Demographics

CLIA Number: 42D0250964

Facility Name: PALMETTO ADULT AND CHILDREN'S UROLOGY, PA

Facility Address:
2890 TRICOM STREET
NORTH CHARLESTON, SC
ZIP 29406
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Facility Phone Number: 843 797-6600

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1164711719

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 42D0250964
LAB Type Physician Office
Facility Name PALMETTO ADULT AND CHILDREN'S UROLOGY, PA
Street 2890 TRICOM STREET
City NORTH CHARLESTON
State SC
ZIP 29406
Phone 843 797-6600
CertificateType 2
CertificateEffectiveDate 2/15/2023
CertificateExpirationDate 2/14/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024