42D0897256 CLIA NUMBER - VOLUNTEERS IN MEDICINE CLINIC

Laboratory Demographics

CLIA Number: 42D0897256

Facility Name: VOLUNTEERS IN MEDICINE CLINIC

Facility Address:
15 NORTHRIDGE DRIVE
HILTON HEAD ISLAND, SC
ZIP 29926
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Facility Phone Number: 843 681-6612

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1053435867

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D0897256
LAB Type	Community Clinic
Facility Name	VOLUNTEERS IN MEDICINE CLINIC
Street	15 NORTHRIDGE DRIVE
City	HILTON HEAD ISLAND
State	SC
ZIP	29926
Phone	843 681-6612
CertificateType	3
CertificateEffectiveDate	2/1/2023
CertificateExpirationDate	1/31/2025
FacilityType	PPMP

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