42D0976899 CLIA NUMBER - PALMETTO PRIMARY CARE PHYSICIANS AT DANIEL ISLAND

Laboratory Demographics

  • CLIA Code: 42D0976899
  • Facility Name: PALMETTO PRIMARY CARE PHYSICIANS AT DANIEL ISLAND
  • Facility Address: 899 ISLAND PARK DRIVE SUITE 200
    DANIEL ISLAND, SC
    ZIP 29492
  • Facility Phone: 843 856-6402
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LUCY G. DAVIS
  • NPI Number: 1144269929
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0976899
LAB Type Physician Office
Facility Name PALMETTO PRIMARY CARE PHYSICIANS AT DANIEL ISLAND
Street 899 ISLAND PARK DRIVE SUITE 200
City DANIEL ISLAND
State SC
ZIP 29492
Phone 843 856-6402
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 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Physician Office
Lab Director DR. LUCY G. DAVIS

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