42D0889219 CLIA NUMBER - RIDGELAND MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 42D0889219
  • Facility Name: RIDGELAND MEDICAL CENTER
  • Facility Address: 1520 GRAYS HIGHWAY
    RIDGELAND, SC
    ZIP 29936
  • Facility Phone: 843 726-3979
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: ROSALIND DAWSON
  • NPI Number: 1275014995
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 42D0889219
LAB Type Community Clinic
Facility Name RIDGELAND MEDICAL CENTER
Street 1520 GRAYS HIGHWAY
City RIDGELAND
State SC
ZIP 29936
Phone 843 726-3979
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 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Community Clinic
Lab Director ROSALIND DAWSON

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