42D2240472 CLIA NUMBER - CHARLESTON DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 42D2240472
  • Facility Name: CHARLESTON DERMATOLOGY
  • Facility Address: 3508 S LIVE OAK DRIVE SUITE 300
    MONCKS CORNER, SC
    ZIP 29461
  • Facility Phone: 843 872-3015
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ADAM L. SPERDUTO
  • NPI Number: 1407050123
  • Taxonomy: 207XX0801X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 42D2240472
LAB Type Physician Office
Facility Name CHARLESTON DERMATOLOGY
Street 3508 S LIVE OAK DRIVE SUITE 300
City MONCKS CORNER
State SC
ZIP 29461
Phone 843 872-3015
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director ADAM L. SPERDUTO

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