42D2040729 CLIA NUMBER - PALMETTO PRIMARY PHYSICIANS - URGENT CARE LABORATORY

Laboratory Demographics

  • CLIA Code: 42D2040729
  • Facility Name: PALMETTO PRIMARY PHYSICIANS - URGENT CARE LABORATORY
  • Facility Address: 2550 ELMS CENTER ROAD
    NORTH CHARLESTON, SC
    ZIP 29406
  • Facility Phone: 843 820-3396
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JENNIFER R. STOLIN
  • NPI Number: 1811953847
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 42D2040729
LAB Type Physician Office
Facility Name PALMETTO PRIMARY PHYSICIANS - URGENT CARE LABORATORY
Street 2550 ELMS CENTER ROAD
City NORTH CHARLESTON
State SC
ZIP 29406
Phone 843 820-3396
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director JENNIFER R. STOLIN

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