42D1045970 CLIA NUMBER - ORANGEBURG CBOC

Laboratory Demographics

CLIA Number: 42D1045970

Facility Name: ORANGEBURG CBOC

Facility Address:
1767 VILLAGEPARK DRIVE
ORANGEBURG, SC
ZIP 29118
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Facility Phone Number: 803 533-1335

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1003302795

Taxonomy: 2084P0800X - Psychiatry & Neurology
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

CLIA Record

Field Name	Field Value
CLIA Number	42D1045970
LAB Type	Community Clinic
Facility Name	ORANGEBURG CBOC
Street	1767 VILLAGEPARK DRIVE
City	ORANGEBURG
State	SC
ZIP	29118
Phone	803 533-1335
CertificateType	1
CertificateEffectiveDate	9/27/2005
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024