42D0251114 CLIA NUMBER - ROPER SAINT FRANCIS PHYSICIANS NETWORK

Laboratory Demographics

  • CLIA Code: 42D0251114
  • Facility Name: ROPER SAINT FRANCIS PHYSICIANS NETWORK
  • Facility Address: 631 VENNING ST PO BOX 397
    MCCLELLANVILLE, SC
    ZIP 29458
  • Facility Phone: 843 887-3344
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK ERICH
  • NPI Number: 1881012904
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0251114
LAB Type Physician Office
Facility Name ROPER SAINT FRANCIS PHYSICIANS NETWORK
Street 631 VENNING ST PO BOX 397
City MCCLELLANVILLE
State SC
ZIP 29458
Phone 843 887-3344
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 MARK ERICH

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