42D2037720 CLIA NUMBER - EDMUND RHETT JR MD PA

Laboratory Demographics

  • CLIA Code: 42D2037720
  • Facility Name: EDMUND RHETT JR MD PA
  • Facility Address: 2002 SOUTH FRASIER ST
    GEORGETOWN, SC
    ZIP 29440
  • Facility Phone: 843 375-2210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID K. SMITH
  • NPI Number: 1831185990
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 42D2037720
LAB Type Physician Office
Facility Name EDMUND RHETT JR MD PA
Street 2002 SOUTH FRASIER ST
City GEORGETOWN
State SC
ZIP 29440
Phone 843 375-2210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Physician Office
Lab Director DR. DAVID K. SMITH

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