42D0981451 CLIA NUMBER - MCLEAN SHEPERD, MD, LLC SHEPERD INTEGRATIVE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 42D0981451
  • Facility Name: MCLEAN SHEPERD, MD, LLC SHEPERD INTEGRATIVE DERMATOLOGY
  • Facility Address: 912 OLD GEORGETOWN ROAD
    MOUNT PLEASANT, SC
    ZIP 29464
  • Facility Phone: 843 216-3530
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: MCLEAN SHEPERD
  • NPI Number: 1104975663
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 42D0981451
LAB Type Practitioner Other
Facility Name MCLEAN SHEPERD, MD, LLC SHEPERD INTEGRATIVE DERMATOLOGY
Street 912 OLD GEORGETOWN ROAD
City MOUNT PLEASANT
State SC
ZIP 29464
Phone 843 216-3530
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 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Practitioner Other
Lab Director MCLEAN SHEPERD

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