42D0658850 CLIA NUMBER - BJHCHS-RUTH P FIELDS MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 42D0658850
  • Facility Name: BJHCHS-RUTH P FIELDS MEDICAL CENTER
  • Facility Address: 719 OKATIE HIGHWAY 170
    RIDGELAND, SC
    ZIP 29936
  • Facility Phone: 843 987-7400
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: FAITH L. POLKEY
  • NPI Number: 1619644648
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D0658850
LAB Type Federally Qualified Health Center
Facility Name BJHCHS-RUTH P FIELDS MEDICAL CENTER
Street 719 OKATIE HIGHWAY 170
City RIDGELAND
State SC
ZIP 29936
Phone 843 987-7400
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 Federally Qualified Health Center
Lab Director FAITH L. POLKEY

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