42D2153668 CLIA NUMBER - CHARLESTON GASTROENTEROLOGY SPECIALISTS

Laboratory Demographics

  • CLIA Code: 42D2153668
  • Facility Name: CHARLESTON GASTROENTEROLOGY SPECIALISTS
  • Facility Address: 2001 2ND AVENUE, SUITE 101
    SUMMERVILLE, SC
    ZIP 29486
  • Facility Phone: 843 722-4536
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARC D. NOBLE
  • NPI Number: 1316946106
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2153668
LAB Type Physician Office
Facility Name CHARLESTON GASTROENTEROLOGY SPECIALISTS
Street 2001 2ND AVENUE, SUITE 101
City SUMMERVILLE
State SC
ZIP 29486
Phone 843 722-4536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Physician Office
Lab Director DR. MARC D. NOBLE

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