42D1083585 CLIA NUMBER - CAROLINA ENT CLINIC

Laboratory Demographics

  • CLIA Code: 42D1083585
  • Facility Name: CAROLINA ENT CLINIC
  • Facility Address: 832 COOK ROAD
    ORANGEBURG, SC
    ZIP 29118
  • Facility Phone: 803 536-5511
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROCCO D. CASSONE
  • NPI Number: 1962808006
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 42D1083585
LAB Type Physician Office
Facility Name CAROLINA ENT CLINIC
Street 832 COOK ROAD
City ORANGEBURG
State SC
ZIP 29118
Phone 803 536-5511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Physician Office
Lab Director DR. ROCCO D. CASSONE

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