42D2170950 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE- WEST ASHLEY

Laboratory Demographics

  • CLIA Code: 42D2170950
  • Facility Name: CENTERWELL SENIOR PRIMARY CARE- WEST ASHLEY
  • Facility Address: 1401 SAM RITTENBERG ROAD SUITE 6
    CHARLESTON, SC
    ZIP 29407
  • Facility Phone: (843) 973-5393
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERICA SAVAGE-JETER
  • NPI Number: 1740833938
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2170950
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE- WEST ASHLEY
Street 1401 SAM RITTENBERG ROAD SUITE 6
City CHARLESTON
State SC
ZIP 29407
Phone 8439735393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director ERICA SAVAGE-JETER

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This page was last updated on: 5/18/2026