42D2252311 CLIA NUMBER - ENSIGHT LABORATORIES, LLC

Laboratory Demographics

  • CLIA Code: 42D2252311
  • Facility Name: ENSIGHT LABORATORIES, LLC
  • Facility Address: 622 COYOTE LANE
    BLYTHEWOOD, SC
    ZIP 29016
  • Facility Phone: 843 845-2596
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SUBRATA Y. ALFORD
  • NPI Number: 1215682851
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2252311
LAB Type Independent
Facility Name ENSIGHT LABORATORIES, LLC
Street 622 COYOTE LANE
City BLYTHEWOOD
State SC
ZIP 29016
Phone 843 845-2596
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Independent
Lab Director SUBRATA Y. ALFORD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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