42D2311426 CLIA NUMBER - CHARLESTONMD

Laboratory Demographics

  • CLIA Code: 42D2311426
  • Facility Name: CHARLESTONMD
  • Facility Address: 677 KING STREET STE 510
    CHARLESTON, SC
    ZIP 29403
  • Facility Phone: 843 513-2911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM M. BROWN
  • NPI Number: 1245537661
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 42D2311426
LAB Type Physician Office
Facility Name CHARLESTONMD
Street 677 KING STREET STE 510
City CHARLESTON
State SC
ZIP 29403
Phone 843 513-2911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director WILLIAM M. BROWN

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