42D1065990 CLIA NUMBER - OUTPATIENT SURGERY CENTER OF HILTON HEAD, THE

Laboratory Demographics

  • CLIA Code: 42D1065990
  • Facility Name: OUTPATIENT SURGERY CENTER OF HILTON HEAD, THE
  • Facility Address: 190 PEMBROKE DR
    HILTON HEAD ISLAND, SC
    ZIP 29926
  • Facility Phone: 843 682-5050
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. GLENN P. GWOZDZ
  • NPI Number: 1619935483
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D1065990
LAB Type Ambulatory Surgery Center
Facility Name OUTPATIENT SURGERY CENTER OF HILTON HEAD, THE
Street 190 PEMBROKE DR
City HILTON HEAD ISLAND
State SC
ZIP 29926
Phone 843 682-5050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. GLENN P. GWOZDZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025