42D2182764 CLIA NUMBER - STRATFORD PLACE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 42D2182764
  • Facility Name: STRATFORD PLACE ASSISTED LIVING
  • Facility Address: 97 BRIDGETOWN ROAD
    GOOSE CREEK, SC
    ZIP 29445
  • Facility Phone: 843 300-1951
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CONSTANCE D. REGER
  • NPI Number: 1881567964
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D2182764
LAB Type Assisted Living Facility
Facility Name STRATFORD PLACE ASSISTED LIVING
Street 97 BRIDGETOWN ROAD
City GOOSE CREEK
State SC
ZIP 29445
Phone 843 300-1951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Assisted Living Facility
Lab Director CONSTANCE D. REGER

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