42D1101411 CLIA NUMBER - COMPASSUS HOSPICE

Laboratory Demographics

  • CLIA Code: 42D1101411
  • Facility Name: COMPASSUS HOSPICE
  • Facility Address: 10911 NORTH JACOB SMART BLVD, SUITE 1
    RIDGELAND, SC
    ZIP 29936
  • Facility Phone: 843 645-6540
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: NANCY L. GARDNER
  • NPI Number: 1285031534
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 42D1101411
LAB Type Hospice
Facility Name COMPASSUS HOSPICE
Street 10911 NORTH JACOB SMART BLVD, SUITE 1
City RIDGELAND
State SC
ZIP 29936
Phone 843 645-6540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Hospice
Lab Director NANCY L. GARDNER

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