42D0713109 CLIA NUMBER - ERIC J WATSON MD

Laboratory Demographics

  • CLIA Code: 42D0713109
  • Facility Name: ERIC J WATSON MD
  • Facility Address: 202 GAVIN STREET
    ST GEORGE, SC
    ZIP 29477
  • Facility Phone: 803 563-3512
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC J. WATSON
  • NPI Number: 1952474769
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0713109
LAB Type Physician Office
Facility Name ERIC J WATSON MD
Street 202 GAVIN STREET
City ST GEORGE
State SC
ZIP 29477
Phone 803 563-3512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Physician Office
Lab Director ERIC J. WATSON

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