42D2100704 CLIA NUMBER - ROPER SAINT FRANCIS PHYSICIANS NETWORK

Laboratory Demographics

  • CLIA Code: 42D2100704
  • Facility Name: ROPER SAINT FRANCIS PHYSICIANS NETWORK
  • Facility Address: 1112 N MAIN STREET
    SUMMERVILLE, SC
    ZIP 29483
  • Facility Phone: 843 212-8096
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DAWN CORSO
  • NPI Number: 1962889576
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 42D2100704
LAB Type Physician Office
Facility Name ROPER SAINT FRANCIS PHYSICIANS NETWORK
Street 1112 N MAIN STREET
City SUMMERVILLE
State SC
ZIP 29483
Phone 843 212-8096
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 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Physician Office
Lab Director DR. DAWN CORSO

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