42D1006868 CLIA NUMBER - PALMETTO PRIMARY CARE- CROWFIELD

Laboratory Demographics

  • CLIA Code: 42D1006868
  • Facility Name: PALMETTO PRIMARY CARE- CROWFIELD
  • Facility Address: 7 SOUTH ALLIANCE DR SUITE 211-B
    GOOSE CREEK, SC
    ZIP 29445
  • Facility Phone: 843 553-4383
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN D. SUTTERLIN
  • NPI Number: 1245271261
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1006868
LAB Type Physician Office
Facility Name PALMETTO PRIMARY CARE- CROWFIELD
Street 7 SOUTH ALLIANCE DR SUITE 211-B
City GOOSE CREEK
State SC
ZIP 29445
Phone 843 553-4383
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director JOHN D. SUTTERLIN

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