42D2287001 CLIA NUMBER - OCHSNER 65 PLUS - OKATIE

Laboratory Demographics

  • CLIA Code: 42D2287001
  • Facility Name: OCHSNER 65 PLUS - OKATIE
  • Facility Address: 50 TERRACE DRIVE
    RIDGELAND, SC
    ZIP 29936
  • Facility Phone: 843 547-4765
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KENNY COLE
  • NPI Number: 1497455232
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2287001
LAB Type Physician Office
Facility Name OCHSNER 65 PLUS - OKATIE
Street 50 TERRACE DRIVE
City RIDGELAND
State SC
ZIP 29936
Phone 843 547-4765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director DR. KENNY COLE

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