42D2192540 CLIA NUMBER - CHARLESTON NEUROSCIENCE INSTITUTE

Laboratory Demographics

  • CLIA Code: 42D2192540
  • Facility Name: CHARLESTON NEUROSCIENCE INSTITUTE
  • Facility Address: 1181 RIBAUT RD SUITE 200
    BEAUFORT, SC
    ZIP 29902
  • Facility Phone: 843 763-4466
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOURDYN SMARKER
  • NPI Number: 1902880289
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 42D2192540
LAB Type Physician Office
Facility Name CHARLESTON NEUROSCIENCE INSTITUTE
Street 1181 RIBAUT RD SUITE 200
City BEAUFORT
State SC
ZIP 29902
Phone 843 763-4466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director JOURDYN SMARKER

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