42D0859916 CLIA NUMBER - SMITH MEDICAL CLINIC, INC

Laboratory Demographics

  • CLIA Code: 42D0859916
  • Facility Name: SMITH MEDICAL CLINIC, INC
  • Facility Address: 99 BASKERVILL DRIVE
    PAWLEYS ISLAND, SC
    ZIP 29585
  • Facility Phone: 843 237-2673
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: R C. SMITH
  • NPI Number: 1043684632
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0859916
LAB Type Community Clinic
Facility Name SMITH MEDICAL CLINIC, INC
Street 99 BASKERVILL DRIVE
City PAWLEYS ISLAND
State SC
ZIP 29585
Phone 843 237-2673
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director R C. SMITH

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