42D2304407 CLIA NUMBER - BEAUFORT MEMORIAL MEDICAL OFFICE PAVILION

Laboratory Demographics

  • CLIA Code: 42D2304407
  • Facility Name: BEAUFORT MEMORIAL MEDICAL OFFICE PAVILION
  • Facility Address: 989 RIBAUT ROAD, IMAGING SUITE 110
    BEAUFORT, SC
    ZIP 29902
  • Facility Phone: 843 522-5129
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN R. MCEVOY
  • NPI Number: 1467413641
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D2304407
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BEAUFORT MEMORIAL MEDICAL OFFICE PAVILION
Street 989 RIBAUT ROAD, IMAGING SUITE 110
City BEAUFORT
State SC
ZIP 29902
Phone 843 522-5129
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JOHN R. MCEVOY

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