42D2105776 CLIA NUMBER - MCLEOD DIGESTIVE HEALTH CENTER SEACOAST

Laboratory Demographics

  • CLIA Code: 42D2105776
  • Facility Name: MCLEOD DIGESTIVE HEALTH CENTER SEACOAST
  • Facility Address: 3980 HWY 9 EAST SUITE 320
    LITTLE RIVER, SC
    ZIP 29566
  • Facility Phone: 843 366-3715
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LACIE EDMISON
  • NPI Number: 1720457567
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2105776
LAB Type Physician Office
Facility Name MCLEOD DIGESTIVE HEALTH CENTER SEACOAST
Street 3980 HWY 9 EAST SUITE 320
City LITTLE RIVER
State SC
ZIP 29566
Phone 843 366-3715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Physician Office
Lab Director LACIE EDMISON

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