42D0888717 CLIA NUMBER - LOW COUNTRY OBSTETRICS AND GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 42D0888717
  • Facility Name: LOW COUNTRY OBSTETRICS AND GYNECOLOGY
  • Facility Address: 2199 N FRASER STREET
    GEORGETOWN, SC
    ZIP 29440
  • Facility Phone: 843 884-5133
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GRANGER OSBORNE
  • NPI Number: 1265592117
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 42D0888717
LAB Type Physician Office
Facility Name LOW COUNTRY OBSTETRICS AND GYNECOLOGY
Street 2199 N FRASER STREET
City GEORGETOWN
State SC
ZIP 29440
Phone 843 884-5133
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 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Physician Office
Lab Director GRANGER OSBORNE

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