42D2169026 CLIA NUMBER - EAST COOPER BARIATRIC SURGERY

Laboratory Demographics

  • CLIA Code: 42D2169026
  • Facility Name: EAST COOPER BARIATRIC SURGERY
  • Facility Address: 1280 HOSPITAL DRIVE SUITE 302
    MT PLEASANT, SC
    ZIP 29464
  • Facility Phone: 843 352-4154
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NEIL MCDEVITT
  • NPI Number: 1558540567
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 42D2169026
LAB Type Physician Office
Facility Name EAST COOPER BARIATRIC SURGERY
Street 1280 HOSPITAL DRIVE SUITE 302
City MT PLEASANT
State SC
ZIP 29464
Phone 843 352-4154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director DR. NEIL MCDEVITT

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