Healther Providers Data Logo

42D2174404 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE - NORTH CHARLESTON

Laboratory Demographics

CLIA Number: 42D2174404

Facility Name: CENTERWELL SENIOR PRIMARY CARE - NORTH CHARLESTON

Facility Address:
1213 REMOUNT ROAD
N CHARLESTON, SC
ZIP 29406
Get Directions

Facility Phone Number: 843 973-5415

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1235699240

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 42D2174404
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE - NORTH CHARLESTON
Street 1213 REMOUNT ROAD
City N CHARLESTON
State SC
ZIP 29406
Phone 843 973-5415
CertificateType 4
CertificateEffectiveDate 10/31/2023
CertificateExpirationDate 10/30/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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