42D2236141 CLIA NUMBER - CAROLINA MEDICAL PARTNERS

Laboratory Demographics

  • CLIA Code: 42D2236141
  • Facility Name: CAROLINA MEDICAL PARTNERS
  • Facility Address: 1028 EDGEWATER CORP PKWY SUITE 103
    INDIAN LAND, SC
    ZIP 29707
  • Facility Phone: 803 547-8660
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHEPHALI N. PATEL
  • NPI Number: 1558738344
  • Taxonomy: 2081S0010X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 42D2236141
LAB Type Physician Office
Facility Name CAROLINA MEDICAL PARTNERS
Street 1028 EDGEWATER CORP PKWY SUITE 103
City INDIAN LAND
State SC
ZIP 29707
Phone 803 547-8660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director DR. SHEPHALI N. PATEL

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