42D2316062 CLIA NUMBER - SC PROFESSIONAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 42D2316062
  • Facility Name: SC PROFESSIONAL SERVICES LLC
  • Facility Address: 1064 GARDNER ROAD, SUITE 215
    CHARLESTON, SC
    ZIP 29407
  • Facility Phone: 843 779-7718
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUZANNE ECHEMENDIA-WIRTH
  • NPI Number: 1447078233
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 42D2316062
LAB Type Physician Office
Facility Name SC PROFESSIONAL SERVICES LLC
Street 1064 GARDNER ROAD, SUITE 215
City CHARLESTON
State SC
ZIP 29407
Phone 843 779-7718
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Physician Office
Lab Director DR. SUZANNE ECHEMENDIA-WIRTH

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