42D0670137 CLIA NUMBER - TIDELANDS HEALTH FAMILY MEDICINE AT HEMINGWAY

Laboratory Demographics

  • CLIA Code: 42D0670137
  • Facility Name: TIDELANDS HEALTH FAMILY MEDICINE AT HEMINGWAY
  • Facility Address: 456 N MAIN STREET
    HEMINGWAY, SC
    ZIP 29554
  • Facility Phone: 843 558-9319
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS CROSBY MD
  • NPI Number: 1588716815
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0670137
LAB Type Physician Office
Facility Name TIDELANDS HEALTH FAMILY MEDICINE AT HEMINGWAY
Street 456 N MAIN STREET
City HEMINGWAY
State SC
ZIP 29554
Phone 843 558-9319
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 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director THOMAS CROSBY MD

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