42D1039077 CLIA NUMBER - BEAUFORT CBOC

Laboratory Demographics

  • CLIA Code: 42D1039077
  • Facility Name: BEAUFORT CBOC
  • Facility Address: 1 PINCKNEY BLVD
    BEAUFORT, SC
    ZIP 29902
  • Facility Phone: 843 789-7536
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: ASHLEY CROSS
  • NPI Number: 1174786339
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1039077
LAB Type Community Clinic
Facility Name BEAUFORT CBOC
Street 1 PINCKNEY BLVD
City BEAUFORT
State SC
ZIP 29902
Phone 843 789-7536
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/4/2005
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director ASHLEY CROSS

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This page was last updated on: 6/4/2025