42D2113905 CLIA NUMBER - TOTAL WELLNESS MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 42D2113905
  • Facility Name: TOTAL WELLNESS MEDICAL CARE
  • Facility Address: 208 E 2ND NORTH STREET
    SUMMERVILLE, SC
    ZIP 29483
  • Facility Phone: 843 261-8911
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LESLIE SEWELL
  • NPI Number: 1710158985
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2113905
LAB Type Physician Office
Facility Name TOTAL WELLNESS MEDICAL CARE
Street 208 E 2ND NORTH STREET
City SUMMERVILLE
State SC
ZIP 29483
Phone 843 261-8911
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 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Physician Office
Lab Director LESLIE SEWELL

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