42D1067844 CLIA NUMBER - CHESCO SERVICES

Laboratory Demographics

  • CLIA Code: 42D1067844
  • Facility Name: CHESCO SERVICES
  • Facility Address: 1224 EAST BLVD
    CHESTERFIELD, SC
    ZIP 29709
  • Facility Phone: 843 623-9016
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: TERRY J. ROGERS
  • NPI Number: 1003479395
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 42D1067844
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name CHESCO SERVICES
Street 1224 EAST BLVD
City CHESTERFIELD
State SC
ZIP 29709
Phone 843 623-9016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director TERRY J. ROGERS

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