42D2304813 CLIA NUMBER - ROPER ST FRANCIS HEALTHCARE - MOBILE HEALTH UNIT

Laboratory Demographics

  • CLIA Code: 42D2304813
  • Facility Name: ROPER ST FRANCIS HEALTHCARE - MOBILE HEALTH UNIT
  • Facility Address: 8536 PALMETTO COMMERCE PARKWAY, SUITE 401
    LADSON, SC
    ZIP 29456
  • Facility Phone: 843 402-1067
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ROBERT R. OLIVARIO
  • NPI Number: 1922511377
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 42D2304813
LAB Type Mobile Laboratory
Facility Name ROPER ST FRANCIS HEALTHCARE - MOBILE HEALTH UNIT
Street 8536 PALMETTO COMMERCE PARKWAY, SUITE 401
City LADSON
State SC
ZIP 29456
Phone 843 402-1067
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 Mobile Laboratory
Lab Director ROBERT R. OLIVARIO

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