42D0252166 CLIA NUMBER - TIDELANDS HEALTH FAMILY MEDICINE AT PAWLEYS ISLAND

Laboratory Demographics

  • CLIA Code: 42D0252166
  • Facility Name: TIDELANDS HEALTH FAMILY MEDICINE AT PAWLEYS ISLAND
  • Facility Address: 9699 OCEAN HWY
    PAWLEYS ISLAND, SC
    ZIP 29585
  • Facility Phone: 843 237-4296
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GERALD E. HARMON MD
  • NPI Number: 1306028832
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0252166
LAB Type Physician Office
Facility Name TIDELANDS HEALTH FAMILY MEDICINE AT PAWLEYS ISLAND
Street 9699 OCEAN HWY
City PAWLEYS ISLAND
State SC
ZIP 29585
Phone 843 237-4296
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 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director GERALD E. HARMON MD

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