42D2023659 CLIA NUMBER - BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 42D2023659
  • Facility Name: BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP
  • Facility Address: 300 MIDTOWN DRIVE, 2ND FLOOR PODS
    BEAUFORT, SC
    ZIP 29906
  • Facility Phone: 843 770-0572
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NICHOLAS P. DARDES
  • NPI Number: 1629408455
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 42D2023659
LAB Type Physician Office
Facility Name BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP
Street 300 MIDTOWN DRIVE, 2ND FLOOR PODS
City BEAUFORT
State SC
ZIP 29906
Phone 843 770-0572
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 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director NICHOLAS P. DARDES

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