42D2126932 CLIA NUMBER - TRIDENT MEDICAL ARTS BUILDING

Laboratory Demographics

  • CLIA Code: 42D2126932
  • Facility Name: TRIDENT MEDICAL ARTS BUILDING
  • Facility Address: 9313 MEDICAL PLAZA DRIVE
    CHARLESTON, SC
    ZIP 29406
  • Facility Phone: 843 847-4354
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. JOSE ESPINAL
  • NPI Number: 1366496937
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 42D2126932
LAB Type Ancillary Testing Site in Health Care Center
Facility Name TRIDENT MEDICAL ARTS BUILDING
Street 9313 MEDICAL PLAZA DRIVE
City CHARLESTON
State SC
ZIP 29406
Phone 843 847-4354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. JOSE ESPINAL

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