42D0889219 CLIA NUMBER - RIDGELAND MEDICAL CENTER

Laboratory Demographics

CLIA Number: 42D0889219

Facility Name: RIDGELAND MEDICAL CENTER

Facility Address:
1520/30 HIGHWAY 278, WEST GRAYS ROAD
RIDGELAND, SC
ZIP 29936
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Facility Phone Number: 843 726-3979

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1275014995

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	42D0889219
LAB Type	Community Clinic
Facility Name	RIDGELAND MEDICAL CENTER
Street	1520/30 HIGHWAY 278, WEST GRAYS ROAD
City	RIDGELAND
State	SC
ZIP	29936
Phone	843 726-3979
CertificateType	3
CertificateEffectiveDate	7/22/2022
CertificateExpirationDate	7/21/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024