42D1046780 CLIA NUMBER - PHYSICIANS' EYE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 42D1046780
  • Facility Name: PHYSICIANS' EYE SURGERY CENTER LLC
  • Facility Address: 2060 CHARLIE HALL BLVD STE 301
    CHARLESTON, SC
    ZIP 29414
  • Facility Phone: 843 722-2010
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ASHLEY ABBOTT
  • NPI Number: 1346331329
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1046780
LAB Type Ambulatory Surgery Center
Facility Name PHYSICIANS' EYE SURGERY CENTER LLC
Street 2060 CHARLIE HALL BLVD STE 301
City CHARLESTON
State SC
ZIP 29414
Phone 843 722-2010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Ambulatory Surgery Center
Lab Director ASHLEY ABBOTT

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