42D1013798 CLIA NUMBER - NORTH MYRTLE BEACH INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 42D1013798
  • Facility Name: NORTH MYRTLE BEACH INTERNAL MEDICINE
  • Facility Address: 8203 NIGELS DRIVE SUITE 201
    MYRTLE BEACH, SC
    ZIP 29572
  • Facility Phone: 843 663-2100
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: E DENISE E. WHIDBY MD
  • NPI Number: 1326073370
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1013798
LAB Type Physician Office
Facility Name NORTH MYRTLE BEACH INTERNAL MEDICINE
Street 8203 NIGELS DRIVE SUITE 201
City MYRTLE BEACH
State SC
ZIP 29572
Phone 843 663-2100
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Physician Office
Lab Director E DENISE E. WHIDBY MD

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