42D0989268 CLIA NUMBER - CAROLINA RHEUMATOLOGY & NEUROLOGY ASSOCIATES, PC

Laboratory Demographics

CLIA Number: 42D0989268

Facility Name: CAROLINA RHEUMATOLOGY & NEUROLOGY ASSOCIATES, PC

Facility Address:
8220 NIGELS DRIVE
MYRTLE BEACH, SC
ZIP 29572
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Facility Phone Number: 843 692-0968

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1275596264

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D0989268
LAB Type	Physician Office
Facility Name	CAROLINA RHEUMATOLOGY & NEUROLOGY ASSOCIATES, PC
Street	8220 NIGELS DRIVE
City	MYRTLE BEACH
State	SC
ZIP	29572
Phone	843 692-0968
CertificateType	1
CertificateEffectiveDate	6/22/2022
CertificateExpirationDate	6/21/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024