42D2023992 CLIA NUMBER - CHARLESTON NEUROSCIENCE INSTITUTE

Laboratory Demographics

  • CLIA Code: 42D2023992
  • Facility Name: CHARLESTON NEUROSCIENCE INSTITUTE
  • Facility Address: 3801 COMMERCIAL CENTER DRIVE
    LADSON, SC
    ZIP 29456
  • Facility Phone: 843 763-4466
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. D. VIRGIL ALFARO III
  • NPI Number: 1366631046
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2023992
LAB Type Physician Office
Facility Name CHARLESTON NEUROSCIENCE INSTITUTE
Street 3801 COMMERCIAL CENTER DRIVE
City LADSON
State SC
ZIP 29456
Phone 843 763-4466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director DR. D. VIRGIL ALFARO III

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