42D1090133 CLIA NUMBER - HORRY COUNTY DISABILITIES AND SPECIAL NEEDS

Laboratory Demographics

  • CLIA Code: 42D1090133
  • Facility Name: HORRY COUNTY DISABILITIES AND SPECIAL NEEDS
  • Facility Address: 250 VICTORY LANE
    CONWAY, SC
    ZIP 29526
  • Facility Phone: 843 347-3010
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ALYSON C. PROULX
  • NPI Number: 1710989256
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D1090133
LAB Type Other
Facility Name HORRY COUNTY DISABILITIES AND SPECIAL NEEDS
Street 250 VICTORY LANE
City CONWAY
State SC
ZIP 29526
Phone 843 347-3010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Other
Lab Director ALYSON C. PROULX

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