42D2322475 CLIA NUMBER - EXEMPLAR ORAL SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 42D2322475
  • Facility Name: EXEMPLAR ORAL SURGERY CENTER
  • Facility Address: 4986 CALVIN STREET
    NORTH CHARLESTON, SC
    ZIP 29418
  • Facility Phone: 843 408-4808
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DANIEL C. LEACH
  • NPI Number: 1124616974
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 42D2322475
LAB Type Practitioner Other
Facility Name EXEMPLAR ORAL SURGERY CENTER
Street 4986 CALVIN STREET
City NORTH CHARLESTON
State SC
ZIP 29418
Phone 843 408-4808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Practitioner Other
Lab Director DANIEL C. LEACH

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