42D0949423 CLIA NUMBER - BLUFFTON OKATIE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 42D0949423
  • Facility Name: BLUFFTON OKATIE SURGERY CENTER
  • Facility Address: 40 OKATIE CENTER BLVD, SOUTH, SUITE 125
    OKATIE, SC
    ZIP 29909
  • Facility Phone: 843 705-8804
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ERIC GWYNN
  • NPI Number: 1326285115
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0949423
LAB Type Ambulatory Surgery Center
Facility Name BLUFFTON OKATIE SURGERY CENTER
Street 40 OKATIE CENTER BLVD, SOUTH, SUITE 125
City OKATIE
State SC
ZIP 29909
Phone 843 705-8804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. ERIC GWYNN

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