42D1057021 CLIA NUMBER - ORTHOSC LLC DBA COASTAL INTERVENTIONAL PAIN ASSOCIATES

Laboratory Demographics

  • CLIA Code: 42D1057021
  • Facility Name: ORTHOSC LLC DBA COASTAL INTERVENTIONAL PAIN ASSOCIATES
  • Facility Address: 210 VILLAGE CENTER BLVD, STE 150
    MYRTLE BEACH, SC
    ZIP 29579
  • Facility Phone: 843 903-9031
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SCOTT SAUER, MD
  • NPI Number: 1417512989
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 42D1057021
LAB Type Other
Facility Name ORTHOSC LLC DBA COASTAL INTERVENTIONAL PAIN ASSOCIATES
Street 210 VILLAGE CENTER BLVD, STE 150
City MYRTLE BEACH
State SC
ZIP 29579
Phone 843 903-9031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Other
Lab Director SCOTT SAUER, MD

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