42D2004481 CLIA NUMBER - INTERIM HEALTHCARE

Laboratory Demographics

  • CLIA Code: 42D2004481
  • Facility Name: INTERIM HEALTHCARE
  • Facility Address: 3820 FABER PLACE DR STE 200
    NORTH CHARLESTON, SC
    ZIP 29405
  • Facility Phone: 843 569-5510
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JAIME A. EDWARDS
  • NPI Number: 1609044338
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 42D2004481
LAB Type Home Health Agency
Facility Name INTERIM HEALTHCARE
Street 3820 FABER PLACE DR STE 200
City NORTH CHARLESTON
State SC
ZIP 29405
Phone 843 569-5510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Home Health Agency
Lab Director JAIME A. EDWARDS

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This page was last updated on: 6/4/2025