42D1059777 CLIA NUMBER - BERKELEY ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 42D1059777
  • Facility Name: BERKELEY ENDOSCOPY CENTER
  • Facility Address: 1072 WILDEWOOD CENTRE DR
    COLUMBIA, SC
    ZIP 29229
  • Facility Phone: 803 865-2262
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SIVA K. CHOCKALINGAM
  • NPI Number: 1841395621
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1059777
LAB Type Ambulatory Surgery Center
Facility Name BERKELEY ENDOSCOPY CENTER
Street 1072 WILDEWOOD CENTRE DR
City COLUMBIA
State SC
ZIP 29229
Phone 803 865-2262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Ambulatory Surgery Center
Lab Director SIVA K. CHOCKALINGAM

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