42D1030967 CLIA NUMBER - SAVANNAH GRACE AT THE PALMS OF MT PLEASANT

Laboratory Demographics

  • CLIA Code: 42D1030967
  • Facility Name: SAVANNAH GRACE AT THE PALMS OF MT PLEASANT
  • Facility Address: 1010 LAKE HUNTER CIRCLE
    MT PLEASANT, SC
    ZIP 29464
  • Facility Phone: 843 388-2030
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: CHARLES M. WILLIAMS
  • NPI Number: 1356426738
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D1030967
LAB Type Other
Facility Name SAVANNAH GRACE AT THE PALMS OF MT PLEASANT
Street 1010 LAKE HUNTER CIRCLE
City MT PLEASANT
State SC
ZIP 29464
Phone 843 388-2030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Other
Lab Director CHARLES M. WILLIAMS

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