42D1080096 CLIA NUMBER - DIALYSIS CLINIC INC- DCI EAST COOPER

Laboratory Demographics

  • CLIA Code: 42D1080096
  • Facility Name: DIALYSIS CLINIC INC- DCI EAST COOPER
  • Facility Address: 1088 JOHNNIE DODDS BLVD
    MT PLEASANT, SC
    ZIP 29464
  • Facility Phone: (843) 881-8344
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RACHEL STURDIVANT
  • NPI Number: 1104859586
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1080096
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC- DCI EAST COOPER
Street 1088 JOHNNIE DODDS BLVD
City MT PLEASANT
State SC
ZIP 29464
Phone 8438818344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2026
Certificate Expiration Date 2/13/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RACHEL STURDIVANT

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This page was last updated on: 5/18/2026