42D2019200 CLIA NUMBER - ROPER SAINT FRANCIS PHYSICIANS NETWORK

Laboratory Demographics

  • CLIA Code: 42D2019200
  • Facility Name: ROPER SAINT FRANCIS PHYSICIANS NETWORK
  • Facility Address: 3510 HWY 17N, SUITE 110
    MT PLEASANT, SC
    ZIP 29466
  • Facility Phone: 843 606-8975
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MELISSA P. CISA
  • NPI Number: 1770137259
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 42D2019200
LAB Type Physician Office
Facility Name ROPER SAINT FRANCIS PHYSICIANS NETWORK
Street 3510 HWY 17N, SUITE 110
City MT PLEASANT
State SC
ZIP 29466
Phone 843 606-8975
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director DR. MELISSA P. CISA

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