42D0675833 CLIA NUMBER - ORTHOSC LLC

Laboratory Demographics

  • CLIA Code: 42D0675833
  • Facility Name: ORTHOSC LLC
  • Facility Address: 103 PROFESSIONAL PARK DRIVE
    CONWAY, SC
    ZIP 29526
  • Facility Phone: 843 347-7222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALISON B. KILMURY
  • NPI Number: 1669973517
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 42D0675833
LAB Type Physician Office
Facility Name ORTHOSC LLC
Street 103 PROFESSIONAL PARK DRIVE
City CONWAY
State SC
ZIP 29526
Phone 843 347-7222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ALISON B. KILMURY

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