42D2247212 CLIA NUMBER - CB HOUSE CALLS

Laboratory Demographics

  • CLIA Code: 42D2247212
  • Facility Name: CB HOUSE CALLS
  • Facility Address: 104 TERRAPIN CIRCLE
    SUMMERVILLE, SC
    ZIP 29486
  • Facility Phone: 843 925-3802
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL B. CAROTHERS
  • NPI Number: 1902550718
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2247212
LAB Type Practitioner Other
Facility Name CB HOUSE CALLS
Street 104 TERRAPIN CIRCLE
City SUMMERVILLE
State SC
ZIP 29486
Phone 843 925-3802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Practitioner Other
Lab Director MICHAEL B. CAROTHERS

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