42D1087626 CLIA NUMBER - MT PLEASANT DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 42D1087626
  • Facility Name: MT PLEASANT DERMATOLOGY, LLC
  • Facility Address: 570 LONG POINT ROAD, SUITE 200
    MT PLEASANT, SC
    ZIP 29464
  • Facility Phone: 843 881-0320
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: JAMES H. PHILLIPS
  • NPI Number: 1821048828
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D1087626
LAB Type Independent
Facility Name MT PLEASANT DERMATOLOGY, LLC
Street 570 LONG POINT ROAD, SUITE 200
City MT PLEASANT
State SC
ZIP 29464
Phone 843 881-0320
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Independent
Lab Director JAMES H. PHILLIPS

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: 9/29/2025