42D2105728 CLIA NUMBER - MCLEOD REGIONAL MEDICAL CENTER OF PEE DEE DBA MCLEOD ONCOLOGY & HEMATOLOGY ASSOC SEACOAST

Laboratory Demographics

CLIA Number: 42D2105728

Facility Name: MCLEOD REGIONAL MEDICAL CENTER OF PEE DEE DBA MCLEOD ONCOLOGY & HEMATOLOGY ASSOC SEACOAST

Facility Address:
4000 HIGHWAY 9 EAST
LITTLE RIVER, SC
ZIP 29566
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Facility Phone Number: 843 366-3891

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1154371433

Taxonomy: 207PE0004X - Emergency Medicine
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

CLIA Record

Field Name	Field Value
CLIA Number	42D2105728
LAB Type	Physician Office
Facility Name	MCLEOD REGIONAL MEDICAL CENTER OF PEE DEE DBA MCLEOD ONCOLOGY & HEMATOLOGY ASSOC SEACOAST
Street	4000 HIGHWAY 9 EAST
City	LITTLE RIVER
State	SC
ZIP	29566
Phone	843 366-3891
CertificateType	2
CertificateEffectiveDate	5/31/2023
CertificateExpirationDate	5/30/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024