42D0993007 CLIA NUMBER - OASIS RESIDENTIAL HOME& ADULT DAY CARE

Laboratory Demographics

  • CLIA Code: 42D0993007
  • Facility Name: OASIS RESIDENTIAL HOME& ADULT DAY CARE
  • Facility Address: 2317 PRINCE STREET
    GEORGETOWN, SC
    ZIP 29440
  • Facility Phone: 843 527-4848
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MAZIE GRAHAM-FAISON
  • NPI Number: 1881892651
  • Taxonomy: 385H00000X - Respite Care

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CLIA Record

Field Name Field Value
CLIA Number 42D0993007
LAB Type Other
Facility Name OASIS RESIDENTIAL HOME& ADULT DAY CARE
Street 2317 PRINCE STREET
City GEORGETOWN
State SC
ZIP 29440
Phone 843 527-4848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Other
Lab Director MAZIE GRAHAM-FAISON

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