42D2045032 CLIA NUMBER - CMC PRIMARY CARE SOCASTEE

Laboratory Demographics

  • CLIA Code: 42D2045032
  • Facility Name: CMC PRIMARY CARE SOCASTEE
  • Facility Address: 6010 HIGHWAY 707
    MYRTLE BEACH, SC
    ZIP 29588
  • Facility Phone: 843 293-1005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DONALD MORANDO
  • NPI Number: 1720350317
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2045032
LAB Type Physician Office
Facility Name CMC PRIMARY CARE SOCASTEE
Street 6010 HIGHWAY 707
City MYRTLE BEACH
State SC
ZIP 29588
Phone 843 293-1005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Physician Office
Lab Director DR. DONALD MORANDO

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