42D0716096 CLIA NUMBER - PALMETTO NEPHROLOGY PA

Laboratory Demographics

  • CLIA Code: 42D0716096
  • Facility Name: PALMETTO NEPHROLOGY PA
  • Facility Address: 3031 ST MATTHEWS RD ATTN TERESA ZIEGLER
    ORANGEBURG, SC
    ZIP 29118
  • Facility Phone: 803 531-2677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMED S. NASSRI
  • NPI Number: 1376765792
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 42D0716096
LAB Type Physician Office
Facility Name PALMETTO NEPHROLOGY PA
Street 3031 ST MATTHEWS RD ATTN TERESA ZIEGLER
City ORANGEBURG
State SC
ZIP 29118
Phone 803 531-2677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MOHAMED S. NASSRI

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