42D2249220 CLIA NUMBER - WILLIAM I PETTY MD LLC

Laboratory Demographics

  • CLIA Code: 42D2249220
  • Facility Name: WILLIAM I PETTY MD LLC
  • Facility Address: 3901 MAINT ST, SUITE A
    HILTON HEAD ISLAND, SC
    ZIP 29926
  • Facility Phone: 843 689-2150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM I. PETTY
  • NPI Number: 1871687665
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2249220
LAB Type Physician Office
Facility Name WILLIAM I PETTY MD LLC
Street 3901 MAINT ST, SUITE A
City HILTON HEAD ISLAND
State SC
ZIP 29926
Phone 843 689-2150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director DR. WILLIAM I. PETTY

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