42D0910753 CLIA NUMBER - SUMMERVILLE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 42D0910753
  • Facility Name: SUMMERVILLE HEALTH CENTER
  • Facility Address: 700 NORTH PINE
    SUMMERVILLE, SC
    ZIP 29483
  • Facility Phone: 843 821-3444
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DANA LAFORTE
  • NPI Number: 1225504749
  • Taxonomy: 152WP0200X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 42D0910753
LAB Type Community Clinic
Facility Name SUMMERVILLE HEALTH CENTER
Street 700 NORTH PINE
City SUMMERVILLE
State SC
ZIP 29483
Phone 843 821-3444
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 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Community Clinic
Lab Director DANA LAFORTE

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