42D1021642 CLIA NUMBER - LOWCOUNTRY OUTPATIENT SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 42D1021642
  • Facility Name: LOWCOUNTRY OUTPATIENT SURGERY CENTER
  • Facility Address: 93A SPRINGVIEW LANE
    SUMMERVILLE, SC
    ZIP 29485
  • Facility Phone: 843 285-6060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID H. JASKWHICH
  • NPI Number: 1124456934
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 42D1021642
LAB Type Physician Office
Facility Name LOWCOUNTRY OUTPATIENT SURGERY CENTER
Street 93A SPRINGVIEW LANE
City SUMMERVILLE
State SC
ZIP 29485
Phone 843 285-6060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director DR. DAVID H. JASKWHICH

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