42D2035838 CLIA NUMBER - BLUFFTON-JASPER COUNTY VOLUNTEERS IN MEDICINE, INC

Laboratory Demographics

  • CLIA Code: 42D2035838
  • Facility Name: BLUFFTON-JASPER COUNTY VOLUNTEERS IN MEDICINE, INC
  • Facility Address: 29 PLANTATION PARK DRIVE, BLDG 600
    BLUFFTON, SC
    ZIP 29910
  • Facility Phone: 843 706-7090
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RUTH SPINELLO
  • NPI Number: 1962170753
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 42D2035838
LAB Type Community Clinic
Facility Name BLUFFTON-JASPER COUNTY VOLUNTEERS IN MEDICINE, INC
Street 29 PLANTATION PARK DRIVE, BLDG 600
City BLUFFTON
State SC
ZIP 29910
Phone 843 706-7090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Community Clinic
Lab Director RUTH SPINELLO

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