42D2010884 CLIA NUMBER - SJC CENTER FOR MEDICATION MANAGEMENT

Laboratory Demographics

  • CLIA Code: 42D2010884
  • Facility Name: SJC CENTER FOR MEDICATION MANAGEMENT
  • Facility Address: 12B ARLEY WAY, SUITE 103
    BLUFFTON, SC
    ZIP 29910
  • Facility Phone: 843 815-2949
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. KEITH A. STEVENS
  • NPI Number: 1548656549
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 42D2010884
LAB Type Hospital
Facility Name SJC CENTER FOR MEDICATION MANAGEMENT
Street 12B ARLEY WAY, SUITE 103
City BLUFFTON
State SC
ZIP 29910
Phone 843 815-2949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Hospital
Lab Director DR. KEITH A. STEVENS

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