42D1013710 CLIA NUMBER - BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SRVS GLASSCHO HOPE WELLNESS CTR ATTN GERTHA GIRTON

Laboratory Demographics

CLIA Number: 42D1013710

Facility Name: BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SRVS GLASSCHO HOPE WELLNESS CTR ATTN GERTHA GIRTON

Facility Address:
PO BOX 357 721 OKATIE HWY
RIDGELAND, SC
ZIP 29936
Get Directions

Facility Phone Number: 843 987-7400

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1720332794

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D1013710
LAB Type	School/Student Health Service
Facility Name	BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SRVS GLASSCHO HOPE WELLNESS CTR ATTN GERTHA GIRTON
Street	PO BOX 357 721 OKATIE HWY
City	RIDGELAND
State	SC
ZIP	29936
Phone	843 987-7400
CertificateType	4
CertificateEffectiveDate	6/16/2023
CertificateExpirationDate	6/15/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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