42D2138802 CLIA NUMBER - ONE80 PLACE

Laboratory Demographics

  • CLIA Code: 42D2138802
  • Facility Name: ONE80 PLACE
  • Facility Address: 35 WALNUT STREET CHARLESTON
    CHARLESTON, SC
    ZIP 29403
  • Facility Phone: 843 872-1792
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DANA LAFORTE
  • NPI Number: 1316323645
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 42D2138802
LAB Type Federally Qualified Health Center
Facility Name ONE80 PLACE
Street 35 WALNUT STREET CHARLESTON
City CHARLESTON
State SC
ZIP 29403
Phone 843 872-1792
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 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Federally Qualified Health Center
Lab Director DANA LAFORTE

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