42D0963932 CLIA NUMBER - CAROLINA HEALTH SPEC ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 42D0963932
  • Facility Name: CAROLINA HEALTH SPEC ENDOCRINOLOGY
  • Facility Address: 945 82ND PARKWAY
    MYRTLE BEACH, SC
    ZIP 29572
  • Facility Phone: 843 497-3005
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DONALD C. EAGERTON MD
  • NPI Number: 1275596264
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0963932
LAB Type Physician Office
Facility Name CAROLINA HEALTH SPEC ENDOCRINOLOGY
Street 945 82ND PARKWAY
City MYRTLE BEACH
State SC
ZIP 29572
Phone 843 497-3005
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 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director DONALD C. EAGERTON MD

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