42D2258396 CLIA NUMBER - SOUTHERN SKY RECOVERY

Laboratory Demographics

  • CLIA Code: 42D2258396
  • Facility Name: SOUTHERN SKY RECOVERY
  • Facility Address: 60 PENNINGTON DRIVE
    BLUFFTON, SC
    ZIP 29910
  • Facility Phone: 912 536-3173
  • Facility Type: Other - SUBSTANCE USE OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: NATHAN E. SHEPARD
  • NPI Number: 1114660057
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D2258396
LAB Type Other - SUBSTANCE USE OUTPATIENT
Facility Name SOUTHERN SKY RECOVERY
Street 60 PENNINGTON DRIVE
City BLUFFTON
State SC
ZIP 29910
Phone 912 536-3173
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Other - SUBSTANCE USE OUTPATIENT
Lab Director NATHAN E. SHEPARD

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