42D2323284 CLIA NUMBER - HOLY CITY HEALTHCARE CONSULTANTS, LLC

Laboratory Demographics

  • CLIA Code: 42D2323284
  • Facility Name: HOLY CITY HEALTHCARE CONSULTANTS, LLC
  • Facility Address: 125G WAPPOO CREEK DR #206
    CHARLESTON, SC
    ZIP 29412
  • Facility Phone: 843 730-2790
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEGAN PRUITT
  • NPI Number: 1497303770
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2323284
LAB Type Physician Office
Facility Name HOLY CITY HEALTHCARE CONSULTANTS, LLC
Street 125G WAPPOO CREEK DR #206
City CHARLESTON
State SC
ZIP 29412
Phone 843 730-2790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Physician Office
Lab Director MEGAN PRUITT

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