42D0986092 CLIA NUMBER - PARKWAY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 42D0986092
  • Facility Name: PARKWAY SURGERY CENTER, LLC
  • Facility Address: 827 82ND PARKWAY
    MYRTLE BEACH, SC
    ZIP 29572
  • Facility Phone: 843 286-2020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD YOUNG
  • NPI Number: 1508840893
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0986092
LAB Type Ambulatory Surgery Center
Facility Name PARKWAY SURGERY CENTER, LLC
Street 827 82ND PARKWAY
City MYRTLE BEACH
State SC
ZIP 29572
Phone 843 286-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Ambulatory Surgery Center
Lab Director RICHARD YOUNG

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