42D0996451 CLIA NUMBER - MEMORIAL HEALTH ADULT PRIMARY CARE BLUFFTON

Laboratory Demographics

  • CLIA Code: 42D0996451
  • Facility Name: MEMORIAL HEALTH ADULT PRIMARY CARE BLUFFTON
  • Facility Address: 14 OKATIE CENTER BLVD SOUTH, STE 101
    OKATIE, SC
    ZIP 29909
  • Facility Phone: 843 836-3800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM KYLE
  • NPI Number: 1619037009
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0996451
LAB Type Physician Office
Facility Name MEMORIAL HEALTH ADULT PRIMARY CARE BLUFFTON
Street 14 OKATIE CENTER BLVD SOUTH, STE 101
City OKATIE
State SC
ZIP 29909
Phone 843 836-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director WILLIAM KYLE

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