42D2048993 CLIA NUMBER - COLORECTAL ENDOSURGERY INSTITUTE, THE OF THE CAROLINAS

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Laboratory Demographics

CLIA Number: 42D2048993

Facility Name: COLORECTAL ENDOSURGERY INSTITUTE, THE OF THE CAROLINAS

Facility Address:
1439 STUART ENGALS BLVD SUITE 101
MOUNT PLEASANT, SC
ZIP 29464
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Facility Phone Number: 843 853-7730

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1386916450

Taxonomy: 208C00000X - Colon & Rectal Surgery
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

CLIA Record

Field Name	Field Value
CLIA Number	42D2048993
LAB Type	Ambulatory Surgery Center
Facility Name	COLORECTAL ENDOSURGERY INSTITUTE, THE OF THE CAROLINAS
Street	1439 STUART ENGALS BLVD SUITE 101
City	MOUNT PLEASANT
State	SC
ZIP	29464
Phone	843 853-7730
CertificateType	4
CertificateEffectiveDate	10/29/2022
CertificateExpirationDate	10/28/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024