42D0987417 CLIA NUMBER - RALPH H JOHNSON VAMC

Laboratory Demographics

  • CLIA Code: 42D0987417
  • Facility Name: RALPH H JOHNSON VAMC
  • Facility Address: 109 BEE ST 2ND FL RMB235
    CHARLESTON, SC
    ZIP 29401
  • Facility Phone: 843 577-5011
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: JOSEPH MODZELEWSKI
  • NPI Number: 1104140425
  • Taxonomy: 286500000X - Military Hospital

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CLIA Record

Field Name Field Value
CLIA Number 42D0987417
LAB Type Hospital
Facility Name RALPH H JOHNSON VAMC
Street 109 BEE ST 2ND FL RMB235
City CHARLESTON
State SC
ZIP 29401
Phone 843 577-5011
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/5/2001
Certificate Expiration Date 5/22/2026
Facility Type Hospital
Lab Director JOSEPH MODZELEWSKI

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