42D0252167 CLIA NUMBER - CMC PRIMARY CARE AT SURFSIDE BEACH

Laboratory Demographics

  • CLIA Code: 42D0252167
  • Facility Name: CMC PRIMARY CARE AT SURFSIDE BEACH
  • Facility Address: 1413 HIGHWAY 17 NORTH BUSINESS
    SURFSIDE BEACH, SC
    ZIP 29575
  • Facility Phone: 843 238-5654
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: JAMES M. VEST
  • NPI Number: 1679075352
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0252167
LAB Type Public Health Laboratories
Facility Name CMC PRIMARY CARE AT SURFSIDE BEACH
Street 1413 HIGHWAY 17 NORTH BUSINESS
City SURFSIDE BEACH
State SC
ZIP 29575
Phone 843 238-5654
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Public Health Laboratories
Lab Director JAMES M. VEST

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