42D1044300 CLIA NUMBER - MT PLEASANT DIALYSIS CLINIC

Laboratory Demographics

  • CLIA Code: 42D1044300
  • Facility Name: MT PLEASANT DIALYSIS CLINIC
  • Facility Address: 1028 EWALL STREET
    MT PLEASANT, SC
    ZIP 29464
  • Facility Phone: 843 884-3115
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OSEMWEGIE EMOVON
  • NPI Number: 1073185740
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D1044300
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MT PLEASANT DIALYSIS CLINIC
Street 1028 EWALL STREET
City MT PLEASANT
State SC
ZIP 29464
Phone 843 884-3115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director OSEMWEGIE EMOVON

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