42D1068430 CLIA NUMBER - PAIN, SPINE AND SPORTS MEDICINE, PA

Laboratory Demographics

  • CLIA Code: 42D1068430
  • Facility Name: PAIN, SPINE AND SPORTS MEDICINE, PA
  • Facility Address: 3029 NEWCASTLE LOOP
    MYRTLE BEACH, SC
    ZIP 29588
  • Facility Phone: 843 215-8868
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. GREGORY KANG
  • NPI Number: 1619174687
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 42D1068430
LAB Type Physician Office
Facility Name PAIN, SPINE AND SPORTS MEDICINE, PA
Street 3029 NEWCASTLE LOOP
City MYRTLE BEACH
State SC
ZIP 29588
Phone 843 215-8868
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 6/3/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. GREGORY KANG

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