42D2198394 CLIA NUMBER - LOWCOUNTRY INFECTIOUS DISEASES, PA

Laboratory Demographics

  • CLIA Code: 42D2198394
  • Facility Name: LOWCOUNTRY INFECTIOUS DISEASES, PA
  • Facility Address: 1938 CHARLIE HALL BOULEVARD UNIT B
    CHARLESTON, SC
    ZIP 29414
  • Facility Phone: 843 402-0227
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANNON R. MCCOIN
  • NPI Number: 1043571383
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2198394
LAB Type Physician Office
Facility Name LOWCOUNTRY INFECTIOUS DISEASES, PA
Street 1938 CHARLIE HALL BOULEVARD UNIT B
City CHARLESTON
State SC
ZIP 29414
Phone 843 402-0227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Physician Office
Lab Director SHANNON R. MCCOIN

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