42D1034819 CLIA NUMBER - FABER PLACE DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D1034819
  • Facility Name: FABER PLACE DIALYSIS
  • Facility Address: 3801 FABER PLACE DRIVE
    NORTH CHARLESTON, SC
    ZIP 29405
  • Facility Phone: 843 377-1566
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WALTON MOSELEY
  • NPI Number: 1881656916
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1034819
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FABER PLACE DIALYSIS
Street 3801 FABER PLACE DRIVE
City NORTH CHARLESTON
State SC
ZIP 29405
Phone 843 377-1566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WALTON MOSELEY

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