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ONE80 PLACE
NPI 1316323645
Voluntary or Charitable in Charleston, SC

Active since August 10, 2015CLIA 42D1087905 · Waiver
35 WALNUT ST, CHARLESTON, SC 29403(843) 723-9477 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About One80 Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ONE80 PLACE (NPI 1316323645) is a healthcare organization registered as a voluntary or charitable in Charleston, South Carolina and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Selena Wilson, Chief Program Officer, as its authorized official.

NPPES Registry Identity

NPI1316323645
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameONE-EIGHTY PLACE
Location Address35 WALNUT STCharleston, SC 29403-4514
Mailing AddressPo Box 20038Charleston, SC 29413-0038 · (843) 737-8382 · Fax (843) 737-8382
Phone(843) 723-9477
Organization SubpartNo
Authorized OfficialSelena WilsonChief Program Officer · (843) 737-8382
Enumeration DateAugust 10, 2015
✔ NPI 1316323645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
35 WALNUT ST, Charleston, SC 29403
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Other Names 1

Other NameOne80 Place

Other Identifiers 1

MedicaidSCSC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1087905

One-Eighty Place · Charleston, SC
Active · expires Aug 12, 2026
CLIA Number42D1087905
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorSelena Wilson
Laboratory Phone(843) 723-9477
Laboratory LocationOne-Eighty Place35 Walnut Street, Charleston, SC 29403
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FETTER HEALTH CARE NETWORK, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
35 WALNUT ST
CHARLESTON, SC 29403
Charleston County (843) 722-4112
MS. CATHRYN CUIZON DNP, APRN, FNP-C
Nurse Practitioner (Family)
35 WALNUT ST
CHARLESTON, SC 29403
Charleston County (843) 723-9477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is One-Eighty Place's NPI number?

The NPI number for One-Eighty Place is 1316323645. It was assigned to this organization in the NPPES registry on August 10, 2015. The provider is also known as One80 Place.

Where is One-Eighty Place located?

One-Eighty Place is located at 35 Walnut St, Charleston, SC 29403. The listed phone number is (843) 723-9477.

What is One-Eighty Place's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

Does One-Eighty Place hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1087905) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for One-Eighty Place was last updated on August 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.