42D1092300 CLIA NUMBER - EQUILIBRIUM ENDOCRINOLOGY, PA

Laboratory Demographics

  • CLIA Code: 42D1092300
  • Facility Name: EQUILIBRIUM ENDOCRINOLOGY, PA
  • Facility Address: 4340A LADSON RD
    LADSON, SC
    ZIP 29456
  • Facility Phone: 843 871-7979
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ORLIN SERGEV
  • NPI Number: 1962658740
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 42D1092300
LAB Type Physician Office
Facility Name EQUILIBRIUM ENDOCRINOLOGY, PA
Street 4340A LADSON RD
City LADSON
State SC
ZIP 29456
Phone 843 871-7979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Physician Office
Lab Director ORLIN SERGEV

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