42D2321668 CLIA NUMBER - CAROLINA CENTER FOR ORAL & FACIAL SURGERY

Laboratory Demographics

  • CLIA Code: 42D2321668
  • Facility Name: CAROLINA CENTER FOR ORAL & FACIAL SURGERY
  • Facility Address: 104 MONTGOMERY DR
    ANDERSON, SC
    ZIP 29621
  • Facility Phone: 980 243-3258
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: WILLIAM S. DUNLAP
  • NPI Number: 1922861905
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2321668
LAB Type Practitioner Other
Facility Name CAROLINA CENTER FOR ORAL & FACIAL SURGERY
Street 104 MONTGOMERY DR
City ANDERSON
State SC
ZIP 29621
Phone 980 243-3258
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Practitioner Other
Lab Director WILLIAM S. DUNLAP

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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