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42D0985320 CLIA NUMBER - PALMETTO PRIMARY CARE PHYSICIANS ARCHDALE

Laboratory Demographics

CLIA Number: 42D0985320

Facility Name: PALMETTO PRIMARY CARE PHYSICIANS ARCHDALE

Facility Address:
5325 APPIAN WAY
CHARLESTON, SC
ZIP 29420
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Facility Phone Number: 843 552-0400

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1285673269

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 42D0985320
LAB Type Physician Office
Facility Name PALMETTO PRIMARY CARE PHYSICIANS ARCHDALE
Street 5325 APPIAN WAY
City CHARLESTON
State SC
ZIP 29420
Phone 843 552-0400
CertificateType 3
CertificateEffectiveDate 4/13/2023
CertificateExpirationDate 4/12/2025
FacilityType PPMP

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