42D1052261 CLIA NUMBER - JONATHAN SACK, MD, PC

Laboratory Demographics

  • CLIA Code: 42D1052261
  • Facility Name: JONATHAN SACK, MD, PC
  • Facility Address: 2 MARSHLAND RD, STE 6
    HILTON HEAD ISLAND, SC
    ZIP 29926
  • Facility Phone: 843 842-6357
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JONATHAN SACK MD
  • NPI Number: 1194780726
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1052261
LAB Type Physician Office
Facility Name JONATHAN SACK, MD, PC
Street 2 MARSHLAND RD, STE 6
City HILTON HEAD ISLAND
State SC
ZIP 29926
Phone 843 842-6357
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director JONATHAN SACK MD

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