42D1000105 CLIA NUMBER - LOWCOUNTRY LUNG AND CRITICAL CARE PA

Laboratory Demographics

CLIA Number: 42D1000105

Facility Name: LOWCOUNTRY LUNG AND CRITICAL CARE PA

Facility Address:
9150 B MEDCOM STREET
CHARLESTON, SC
ZIP 29406
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Facility Phone Number: 843 572-3330

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790972685

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	42D1000105
LAB Type	Physician Office
Facility Name	LOWCOUNTRY LUNG AND CRITICAL CARE PA
Street	9150 B MEDCOM STREET
City	CHARLESTON
State	SC
ZIP	29406
Phone	843 572-3330
CertificateType	4
CertificateEffectiveDate	6/4/2022
CertificateExpirationDate	6/3/2024
FacilityType	Waiver

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