Healther Providers Data Logo

42D2257386 CLIA NUMBER - CHARLESTON MEDICINE AND BEHAVIORAL HEALTH

Laboratory Demographics

CLIA Number: 42D2257386

Facility Name: CHARLESTON MEDICINE AND BEHAVIORAL HEALTH

Facility Address:
125 WAPPOO CREEK DRIVE, BUILDING 125A, SUITE 202
CHARLESTON, SC
ZIP 29412
Get Directions

Facility Phone Number: 843 913-8558

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1487665469

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 42D2257386
LAB Type Physician Office
Facility Name CHARLESTON MEDICINE AND BEHAVIORAL HEALTH
Street 125 WAPPOO CREEK DRIVE, BUILDING 125A, SUITE 202
City CHARLESTON
State SC
ZIP 29412
Phone 843 913-8558
CertificateType 4
CertificateEffectiveDate 4/5/2024
CertificateExpirationDate 4/4/2026
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024