42D2304789 CLIA NUMBER - ROPER ST FRANCIS PHYSICIAN PARTNERS

Laboratory Demographics

  • CLIA Code: 42D2304789
  • Facility Name: ROPER ST FRANCIS PHYSICIAN PARTNERS
  • Facility Address: 300 CALLEN BLVD, SUITE 220
    SUMMERVILLE, SC
    ZIP 29486
  • Facility Phone: 843 402-1024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERALD B. TAYLOR
  • NPI Number: 1760976674
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 42D2304789
LAB Type Physician Office
Facility Name ROPER ST FRANCIS PHYSICIAN PARTNERS
Street 300 CALLEN BLVD, SUITE 220
City SUMMERVILLE
State SC
ZIP 29486
Phone 843 402-1024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director GERALD B. TAYLOR

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