42D2327075 CLIA NUMBER - GEORGETOWN OPCO II, LLC (SC)

Laboratory Demographics

  • CLIA Code: 42D2327075
  • Facility Name: GEORGETOWN OPCO II, LLC (SC)
  • Facility Address: 2628 N FRASER ST
    GEORGETOWN, SC
    ZIP 29440
  • Facility Phone: 843 932-9112
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: COLBY BRYANT
  • NPI Number: 1922830603
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D2327075
LAB Type Assisted Living Facility
Facility Name GEORGETOWN OPCO II, LLC (SC)
Street 2628 N FRASER ST
City GEORGETOWN
State SC
ZIP 29440
Phone 843 932-9112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Assisted Living Facility
Lab Director COLBY BRYANT

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