42D0890932 CLIA NUMBER - DOCTORS CARE-MT PLEASANT

Laboratory Demographics

CLIA Number: 42D0890932

Facility Name: DOCTORS CARE-MT PLEASANT

Facility Address:
631 JOHNNIE DODDS BOULEVARD
MT PLEASANT, SC
ZIP 29464
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Facility Phone Number: 843 881-0815

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1588903595

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	42D0890932
LAB Type	Physician Office
Facility Name	DOCTORS CARE-MT PLEASANT
Street	631 JOHNNIE DODDS BOULEVARD
City	MT PLEASANT
State	SC
ZIP	29464
Phone	843 881-0815
CertificateType	2
CertificateEffectiveDate	10/6/2022
CertificateExpirationDate	10/5/2024
FacilityType	Compliance

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