42D2210266 CLIA NUMBER - HAMMOCKS ON THE EDISTO

Laboratory Demographics

  • CLIA Code: 42D2210266
  • Facility Name: HAMMOCKS ON THE EDISTO
  • Facility Address: 2137 HOPE PLANTATION LANE
    JACKSONBORO, SC
    ZIP 29452
  • Facility Phone: 843 806-3414
  • Facility Type: Other - RESIDENTIAL SUBS ABUSE
  • Facility Type: Waiver
  • Lab Director: MR. WILLIAM J. COATSWORTH
  • NPI Number: 1861045767
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D2210266
LAB Type Other - RESIDENTIAL SUBS ABUSE
Facility Name HAMMOCKS ON THE EDISTO
Street 2137 HOPE PLANTATION LANE
City JACKSONBORO
State SC
ZIP 29452
Phone 843 806-3414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Other - RESIDENTIAL SUBS ABUSE
Lab Director MR. WILLIAM J. COATSWORTH

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