42D2139752 CLIA NUMBER - ROPER SAINT FRANCIS PHYSICIANS NETWORK

Laboratory Demographics

  • CLIA Code: 42D2139752
  • Facility Name: ROPER SAINT FRANCIS PHYSICIANS NETWORK
  • Facility Address: 501 CARNES CROSSING BLVD, SUITE B
    SUMMERVILLE, SC
    ZIP 29486
  • Facility Phone: 843 212-8080
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SOUZAN ABDEL-SAMIE MD
  • NPI Number: 1821689415
  • Taxonomy: 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery)

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CLIA Record

Field Name Field Value
CLIA Number 42D2139752
LAB Type Physician Office
Facility Name ROPER SAINT FRANCIS PHYSICIANS NETWORK
Street 501 CARNES CROSSING BLVD, SUITE B
City SUMMERVILLE
State SC
ZIP 29486
Phone 843 212-8080
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 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director SOUZAN ABDEL-SAMIE MD

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