42D2285154 CLIA NUMBER - JAMES ISLAND EMERGENCY

Laboratory Demographics

CLIA Number: 42D2285154

Facility Name: JAMES ISLAND EMERGENCY

Facility Address:
945 FOLLY ROAD
CHARLESTON, SC
ZIP 29412
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Facility Phone Number: 854 214-2510

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Accreditation

NPI Number: 1366404725

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	42D2285154
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	JAMES ISLAND EMERGENCY
Street	945 FOLLY ROAD
City	CHARLESTON
State	SC
ZIP	29412
Phone	854 214-2510
CertificateType	1
CertificateEffectiveDate	7/7/2023
CertificateExpirationDate	7/6/2025
FacilityType	Accreditation

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