42D2309724 CLIA NUMBER - CHARLESTON ENT ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 42D2309724
  • Facility Name: CHARLESTON ENT ASSOCIATES, LLC
  • Facility Address: 9185 UNIVERSITY BOULEVARD
    NORTH CHARLESTON, SC
    ZIP 29406
  • Facility Phone: 843 654-8884
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS MURPHY
  • NPI Number: 1639128671
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 42D2309724
LAB Type Physician Office
Facility Name CHARLESTON ENT ASSOCIATES, LLC
Street 9185 UNIVERSITY BOULEVARD
City NORTH CHARLESTON
State SC
ZIP 29406
Phone 843 654-8884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director THOMAS MURPHY

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