42D2228075 CLIA NUMBER - PALMETTO ENDOSCOPY CENTER-MT PLEASANT, LLC

Laboratory Demographics

  • CLIA Code: 42D2228075
  • Facility Name: PALMETTO ENDOSCOPY CENTER-MT PLEASANT, LLC
  • Facility Address: 1250 WIRE GRASS DRIVE
    MOUNT PLEASANT, SC
    ZIP 29466
  • Facility Phone: 843 571-0643
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL A. SAGATELAIN
  • NPI Number: 1336222884
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2228075
LAB Type Ambulatory Surgery Center
Facility Name PALMETTO ENDOSCOPY CENTER-MT PLEASANT, LLC
Street 1250 WIRE GRASS DRIVE
City MOUNT PLEASANT
State SC
ZIP 29466
Phone 843 571-0643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. MICHAEL A. SAGATELAIN

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