42D0899581 CLIA NUMBER - TIDELANDS HEALTH OBGYN AT MURRELLS INLET

Laboratory Demographics

  • CLIA Code: 42D0899581
  • Facility Name: TIDELANDS HEALTH OBGYN AT MURRELLS INLET
  • Facility Address: 4017 HIGHWAY 17 BYPASS
    MURRELLS INLET, SC
    ZIP 29576
  • Facility Phone: 843 527-4343
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GAYLE S. RICHMOND MD
  • NPI Number: 1891072609
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 42D0899581
LAB Type Physician Office
Facility Name TIDELANDS HEALTH OBGYN AT MURRELLS INLET
Street 4017 HIGHWAY 17 BYPASS
City MURRELLS INLET
State SC
ZIP 29576
Phone 843 527-4343
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 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Physician Office
Lab Director GAYLE S. RICHMOND MD

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