42D2112455 CLIA NUMBER - ISLAND WOMENS CARE, LLC

Laboratory Demographics

  • CLIA Code: 42D2112455
  • Facility Name: ISLAND WOMENS CARE, LLC
  • Facility Address: 38 BLACKGUM ROAD SUITES C&D
    PAWLEYS ISLAND, SC
    ZIP 29585
  • Facility Phone: 843 235-1222
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CAROLINE G. MILLAN
  • NPI Number: 1124472865
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 42D2112455
LAB Type Physician Office
Facility Name ISLAND WOMENS CARE, LLC
Street 38 BLACKGUM ROAD SUITES C&D
City PAWLEYS ISLAND
State SC
ZIP 29585
Phone 843 235-1222
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 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Physician Office
Lab Director CAROLINE G. MILLAN

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