42D2268986 CLIA NUMBER - CHARLESTON DAY SCHOOL

Laboratory Demographics

CLIA Number: 42D2268986

Facility Name: CHARLESTON DAY SCHOOL

Facility Address:
15 ARCHDALE STREET SCHOOL NURSE OFFICE
CHARLESTON, SC
ZIP 29407
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Facility Phone Number: 843 793-6841

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1013953934

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	42D2268986
LAB Type	School/Student Health Service
Facility Name	CHARLESTON DAY SCHOOL
Street	15 ARCHDALE STREET SCHOOL NURSE OFFICE
City	CHARLESTON
State	SC
ZIP	29407
Phone	843 793-6841
CertificateType	4
CertificateEffectiveDate	9/20/2022
CertificateExpirationDate	9/19/2024
FacilityType	Waiver

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