42D1017522 CLIA NUMBER - CAROLINA BONE & JOINT SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 42D1017522
  • Facility Name: CAROLINA BONE & JOINT SURGERY CENTER LLC
  • Facility Address: 101 SURGEONS DRIVE
    MYRTLE BEACH, SC
    ZIP 29579
  • Facility Phone: 843 236-6633
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. RYAN SMITH
  • NPI Number: 1316924632
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1017522
LAB Type Ambulatory Surgery Center
Facility Name CAROLINA BONE & JOINT SURGERY CENTER LLC
Street 101 SURGEONS DRIVE
City MYRTLE BEACH
State SC
ZIP 29579
Phone 843 236-6633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. RYAN SMITH

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