42D1012002 CLIA NUMBER - ELMS ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 42D1012002
  • Facility Name: ELMS ENDOSCOPY CENTER LLC
  • Facility Address: 2671 ELMS PLANTATION BLVD
    NORTH CHARLESTON, SC
    ZIP 29406
  • Facility Phone: 843 797-6800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GREGORY GOODYEAR
  • NPI Number: 1083695860
  • Taxonomy: 261QE0800X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D1012002
LAB Type Ambulatory Surgery Center
Facility Name ELMS ENDOSCOPY CENTER LLC
Street 2671 ELMS PLANTATION BLVD
City NORTH CHARLESTON
State SC
ZIP 29406
Phone 843 797-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Ambulatory Surgery Center
Lab Director GREGORY GOODYEAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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