42D2323822 CLIA NUMBER - CHARLESTON DIRECT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 42D2323822
  • Facility Name: CHARLESTON DIRECT PRIMARY CARE
  • Facility Address: 501 HAYES PARK BLVD
    JOHNS ISLAND, SC
    ZIP 29455
  • Facility Phone: 843 259-4948
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KEVIN A. HINSON
  • NPI Number: 1922853332
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2323822
LAB Type Physician Office
Facility Name CHARLESTON DIRECT PRIMARY CARE
Street 501 HAYES PARK BLVD
City JOHNS ISLAND
State SC
ZIP 29455
Phone 843 259-4948
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director KEVIN A. HINSON

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