42D0977784 CLIA NUMBER - CHARLESTON WOMEN'S WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 42D0977784
  • Facility Name: CHARLESTON WOMEN'S WELLNESS CENTER
  • Facility Address: 5319-B PARKSHIRE WAY
    NORTH CHARLESTON, SC
    ZIP 29418
  • Facility Phone: 843 767-2121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAULA ORR MD
  • NPI Number: 1578626552
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director PAULA ORR MD

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This page was last updated on: 3/20/2025