42D2236117 CLIA NUMBER - MY FATHERS TOUCH IN HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 42D2236117
  • Facility Name: MY FATHERS TOUCH IN HOME CARE LLC
  • Facility Address: 3618 ASHLEY PHOSPHATE RD SUITE 7
    NORTH CHARLESTON, SC
    ZIP 29418
  • Facility Phone: 843 800-8550
  • Facility Type: Other - NON MEDICAL HOME CARE
  • Facility Type: Waiver
  • Lab Director: MAVIS MANIGAULT
  • NPI Number: 1073271441
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 42D2236117
LAB Type Other - NON MEDICAL HOME CARE
Facility Name MY FATHERS TOUCH IN HOME CARE LLC
Street 3618 ASHLEY PHOSPHATE RD SUITE 7
City NORTH CHARLESTON
State SC
ZIP 29418
Phone 843 800-8550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2023
Certificate Expiration Date 9/14/2025
Facility Type Other - NON MEDICAL HOME CARE
Lab Director MAVIS MANIGAULT

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This page was last updated on: 3/20/2025