42D2150178 CLIA NUMBER - LOWCOUNTRY PLASTIC SURGERY CENTER BY HKB, PA

Laboratory Demographics

  • CLIA Code: 42D2150178
  • Facility Name: LOWCOUNTRY PLASTIC SURGERY CENTER BY HKB, PA
  • Facility Address: 1205 TWO ISLAND CT, STE 203
    MOUNT PLEASANT, SC
    ZIP 29466
  • Facility Phone: 843 971-2860
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MATTHEW B. BAKER
  • NPI Number: 1215052840
  • Taxonomy: 1223E0200X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 42D2150178
LAB Type Ambulatory Surgery Center
Facility Name LOWCOUNTRY PLASTIC SURGERY CENTER BY HKB, PA
Street 1205 TWO ISLAND CT, STE 203
City MOUNT PLEASANT
State SC
ZIP 29466
Phone 843 971-2860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Ambulatory Surgery Center
Lab Director MATTHEW B. BAKER

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