42D2084129 CLIA NUMBER - MUSC HEALTH BEN SAWYER PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 42D2084129
  • Facility Name: MUSC HEALTH BEN SAWYER PRIMARY CARE
  • Facility Address: 1440 BEN SAWYER BLVD, STE 1109-1111
    MOUNT PLEASANT, SC
    ZIP 29464
  • Facility Phone: 843 876-8111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. GREGORY PERRON
  • NPI Number: 1609310929
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2084129
LAB Type Physician Office
Facility Name MUSC HEALTH BEN SAWYER PRIMARY CARE
Street 1440 BEN SAWYER BLVD, STE 1109-1111
City MOUNT PLEASANT
State SC
ZIP 29464
Phone 843 876-8111
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director DR. GREGORY PERRON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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