42D0252068 CLIA NUMBER - AUC UROLOGISTS, LLC

Laboratory Demographics

  • CLIA Code: 42D0252068
  • Facility Name: AUC UROLOGISTS, LLC
  • Facility Address: 823 82ND PARKWAY
    MYRTLE BEACH, SC
    ZIP 29572
  • Facility Phone: 943 390-8521
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIAN J. ROBERTS
  • NPI Number: 1790430429
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 42D0252068
LAB Type Physician Office
Facility Name AUC UROLOGISTS, LLC
Street 823 82ND PARKWAY
City MYRTLE BEACH
State SC
ZIP 29572
Phone 943 390-8521
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director BRIAN J. ROBERTS

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