42D2254381 CLIA NUMBER - ROYALTI HEALTH LLC

Laboratory Demographics

  • CLIA Code: 42D2254381
  • Facility Name: ROYALTI HEALTH LLC
  • Facility Address: 200 BUSINESS PARK DR
    SANTEE, SC
    ZIP 29142
  • Facility Phone: 803 707-7016
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TERESA Y. SHIVERS
  • NPI Number: 1972339919
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 42D2254381
LAB Type Mobile Laboratory
Facility Name ROYALTI HEALTH LLC
Street 200 BUSINESS PARK DR
City SANTEE
State SC
ZIP 29142
Phone 803 707-7016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Mobile Laboratory
Lab Director TERESA Y. SHIVERS

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