42D2168852 CLIA NUMBER - LOWCOUNTRY URGENT CARE, LLC

Laboratory Demographics

CLIA Number: 42D2168852

Facility Name: LOWCOUNTRY URGENT CARE, LLC

Facility Address:
21 ROBERT SMALLS PKWY
BEAUFORT, SC
ZIP 29906
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Facility Phone Number: 843 521-4357

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457406704

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	42D2168852
LAB Type	Physician Office
Facility Name	LOWCOUNTRY URGENT CARE, LLC
Street	21 ROBERT SMALLS PKWY
City	BEAUFORT
State	SC
ZIP	29906
Phone	843 521-4357
CertificateType	4
CertificateEffectiveDate	7/10/2023
CertificateExpirationDate	7/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024