42D1051432 CLIA NUMBER - DORA ANGUELOVA MD PHD PA DBA MAGNOLIA GENERAL MEDICINE

Laboratory Demographics

  • CLIA Code: 42D1051432
  • Facility Name: DORA ANGUELOVA MD PHD PA DBA MAGNOLIA GENERAL MEDICINE
  • Facility Address: 4914 HWY 17 BYPASS
    MURRELLS INLET, SC
    ZIP 29576
  • Facility Phone: 843 357-6734
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IVO V. ANGUELOV
  • NPI Number: 1295798999
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1051432
LAB Type Physician Office
Facility Name DORA ANGUELOVA MD PHD PA DBA MAGNOLIA GENERAL MEDICINE
Street 4914 HWY 17 BYPASS
City MURRELLS INLET
State SC
ZIP 29576
Phone 843 357-6734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Physician Office
Lab Director IVO V. ANGUELOV

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