42D0992060 CLIA NUMBER - SOUTHEAST MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 42D0992060
  • Facility Name: SOUTHEAST MEDICAL ASSOCIATES
  • Facility Address: 11947 GRANDHAVEN DRIVE SUITE J
    MURRELLS INLET, SC
    ZIP 29576
  • Facility Phone: 843 215-5102
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANWARUL G. EMRAN
  • NPI Number: 1871798348
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0992060
LAB Type Physician Office
Facility Name SOUTHEAST MEDICAL ASSOCIATES
Street 11947 GRANDHAVEN DRIVE SUITE J
City MURRELLS INLET
State SC
ZIP 29576
Phone 843 215-5102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Physician Office
Lab Director ANWARUL G. EMRAN

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