42D0957030 CLIA NUMBER - RAVENEL OB/GYN

Laboratory Demographics

  • CLIA Code: 42D0957030
  • Facility Name: RAVENEL OB/GYN
  • Facility Address: 1370 REMOUNT RD STE D
    NORTH CHARLESTON, SC
    ZIP 29406
  • Facility Phone: 843 566-1200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANCIS AKOM M D
  • NPI Number: 1265654529
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 42D0957030
LAB Type Physician Office
Facility Name RAVENEL OB/GYN
Street 1370 REMOUNT RD STE D
City NORTH CHARLESTON
State SC
ZIP 29406
Phone 843 566-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director FRANCIS AKOM M D

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