42D1079932 CLIA NUMBER - CAROLINA FOREST IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 42D1079932
  • Facility Name: CAROLINA FOREST IMAGING CENTER
  • Facility Address: 199 VILLAGE CENTER BLVD, SUITE 110
    MYRTLE BEACH, SC
    ZIP 29579
  • Facility Phone: 843 236-7878
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. JOHN W. TURNER
  • NPI Number: 1740709021
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 42D1079932
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CAROLINA FOREST IMAGING CENTER
Street 199 VILLAGE CENTER BLVD, SUITE 110
City MYRTLE BEACH
State SC
ZIP 29579
Phone 843 236-7878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. JOHN W. TURNER

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