42D2164540 CLIA NUMBER - CHARLESTON DERMATOLOGY, PC

Laboratory Demographics

  • CLIA Code: 42D2164540
  • Facility Name: CHARLESTON DERMATOLOGY, PC
  • Facility Address: 1090 PARK WEST BLVD SUITE 101 AND 104
    MOUNT PLEASANT, SC
    ZIP 29466
  • Facility Phone: 843 872-3015
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ADAM L. SPERDUTO
  • NPI Number: 1962906313
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 42D2164540
LAB Type Physician Office
Facility Name CHARLESTON DERMATOLOGY, PC
Street 1090 PARK WEST BLVD SUITE 101 AND 104
City MOUNT PLEASANT
State SC
ZIP 29466
Phone 843 872-3015
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director ADAM L. SPERDUTO

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