42D2191550 CLIA NUMBER - MUSC CHUCK DAWLEY - AMBULATORY SURGERY FACILITY

Laboratory Demographics

  • CLIA Code: 42D2191550
  • Facility Name: MUSC CHUCK DAWLEY - AMBULATORY SURGERY FACILITY
  • Facility Address: 1106 CHUCK DAWLEY BLVD
    MT PLEASANT, SC
    ZIP 29464
  • Facility Phone: 843 985-0920
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BENITA L. MORELL
  • NPI Number: 1952744278
  • Taxonomy: 282NC2000X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2191550
LAB Type Ambulatory Surgery Center
Facility Name MUSC CHUCK DAWLEY - AMBULATORY SURGERY FACILITY
Street 1106 CHUCK DAWLEY BLVD
City MT PLEASANT
State SC
ZIP 29464
Phone 843 985-0920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Ambulatory Surgery Center
Lab Director BENITA L. MORELL

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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