42D2160532 CLIA NUMBER - GOMED CHARLESTON, LLC

Laboratory Demographics

  • CLIA Code: 42D2160532
  • Facility Name: GOMED CHARLESTON, LLC
  • Facility Address: 1671 BELLE ISLE
    MOUNT PLEASANT, SC
    ZIP 29464
  • Facility Phone: 478 396-4086
  • Facility Type: Other - MOBILE URGENT CARE
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER A. PITTS
  • NPI Number: 1790254365
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2160532
LAB Type Other - MOBILE URGENT CARE
Facility Name GOMED CHARLESTON, LLC
Street 1671 BELLE ISLE
City MOUNT PLEASANT
State SC
ZIP 29464
Phone 478 396-4086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Other - MOBILE URGENT CARE
Lab Director CHRISTOPHER A. PITTS

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