42D2309854 CLIA NUMBER - FULL CIRCLE HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 42D2309854
  • Facility Name: FULL CIRCLE HEALTH, LLC
  • Facility Address: 1119 PEPPER RIDGE DRIVE
    LUGOFF, SC
    ZIP 29078
  • Facility Phone: 803 669-5616
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: CHRISTA C. BOSS
  • NPI Number: 1649029067
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 42D2309854
LAB Type Mobile Laboratory
Facility Name FULL CIRCLE HEALTH, LLC
Street 1119 PEPPER RIDGE DRIVE
City LUGOFF
State SC
ZIP 29078
Phone 803 669-5616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Mobile Laboratory
Lab Director CHRISTA C. BOSS

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