42D1004588 CLIA NUMBER - ST JAMES-SANTEE FAMILY HEALTH CENTER CHOPPEE SITE

Laboratory Demographics

CLIA Number: 42D1004588

Facility Name: ST JAMES-SANTEE FAMILY HEALTH CENTER CHOPPEE SITE

Facility Address:
8189 CHOPPEE ROAD
GEORGETOWN, SC
ZIP 29440
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Facility Phone Number: 843 887-3274

Facility Type: Rural Health Clinic

Certificate Type: Microscopy

NPI Number: 1366568594

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D1004588
LAB Type	Rural Health Clinic
Facility Name	ST JAMES-SANTEE FAMILY HEALTH CENTER CHOPPEE SITE
Street	8189 CHOPPEE ROAD
City	GEORGETOWN
State	SC
ZIP	29440
Phone	843 887-3274
CertificateType	3
CertificateEffectiveDate	10/1/2022
CertificateExpirationDate	9/30/2024
FacilityType	PPMP

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