42D0977784 CLIA NUMBER - CHARLESTON WOMEN'S WELLNESS CENTER

Laboratory Demographics

CLIA Number: 42D0977784

Facility Name: CHARLESTON WOMEN'S WELLNESS CENTER

Facility Address:
5319-B PARKSHIRE WAY
NORTH CHARLESTON, SC
ZIP 29418
Get Directions

Facility Phone Number: 843 767-2121

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1578626552

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	42D0977784
LAB Type	Physician Office
Facility Name	CHARLESTON WOMEN'S WELLNESS CENTER
Street	5319-B PARKSHIRE WAY
City	NORTH CHARLESTON
State	SC
ZIP	29418
Phone	843 767-2121
CertificateType	4
CertificateEffectiveDate	9/6/2022
CertificateExpirationDate	9/5/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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