42D2065528 CLIA NUMBER - ROPER ST FRANCIS PHYSICIANS NETWORK

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Laboratory Demographics

CLIA Number: 42D2065528

Facility Name: ROPER ST FRANCIS PHYSICIANS NETWORK

Facility Address:
5070 INTERNATIONAL BLVD, STE 131
NORTH CHARLESTON, SC
ZIP 29418
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Facility Phone Number: 843 402-5053

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1033652730

Taxonomy: 305S00000X - Point of Service
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

CLIA Record

Field Name	Field Value
CLIA Number	42D2065528
LAB Type	Physician Office
Facility Name	ROPER ST FRANCIS PHYSICIANS NETWORK
Street	5070 INTERNATIONAL BLVD, STE 131
City	NORTH CHARLESTON
State	SC
ZIP	29418
Phone	843 402-5053
CertificateType	2
CertificateEffectiveDate	10/4/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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