42D0252144 CLIA NUMBER - MEDCARE EXPRESS NORTH CHARLESTON, LLC DBA MEDCARE - NORTH MYRTLE BEACH

Laboratory Demographics

  • CLIA Code: 42D0252144
  • Facility Name: MEDCARE EXPRESS NORTH CHARLESTON, LLC DBA MEDCARE - NORTH MYRTLE BEACH
  • Facility Address: 3816 HIGHWAY 17 SOUTH
    NORTH MYRTLE BEACH, SC
    ZIP 29582
  • Facility Phone: 615 656-2750
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY S. ANDERSON
  • NPI Number: 1154415933
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 42D0252144
LAB Type Physician Office
Facility Name MEDCARE EXPRESS NORTH CHARLESTON, LLC DBA MEDCARE - NORTH MYRTLE BEACH
Street 3816 HIGHWAY 17 SOUTH
City NORTH MYRTLE BEACH
State SC
ZIP 29582
Phone 615 656-2750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Physician Office
Lab Director JEFFREY S. ANDERSON

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