42D2257967 CLIA NUMBER - LOWCOUNTRY NURSING GROUP LLC DBA INTERIM HEALTHCARE HOSPICE OF CHARLESTON

Laboratory Demographics

  • CLIA Code: 42D2257967
  • Facility Name: LOWCOUNTRY NURSING GROUP LLC DBA INTERIM HEALTHCARE HOSPICE OF CHARLESTON
  • Facility Address: 3820 FABER PLACE DRIVE, SUITE 200
    NORTH CHARLESTON, SC
    ZIP 29405
  • Facility Phone: 843 554-1410
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MS. JAIME EDWARDS
  • NPI Number: 1043965114
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 42D2257967
LAB Type Hospice
Facility Name LOWCOUNTRY NURSING GROUP LLC DBA INTERIM HEALTHCARE HOSPICE OF CHARLESTON
Street 3820 FABER PLACE DRIVE, SUITE 200
City NORTH CHARLESTON
State SC
ZIP 29405
Phone 843 554-1410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Hospice
Lab Director MS. JAIME EDWARDS

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