42D2131339 CLIA NUMBER - MCLEOD RHEUMATOLOGY SEACOAST

Laboratory Demographics

  • CLIA Code: 42D2131339
  • Facility Name: MCLEOD RHEUMATOLOGY SEACOAST
  • Facility Address: 2021 NORTH MYRTLE POINT SUITE 104
    NORTH MYRTLE BEACH, SC
    ZIP 29582
  • Facility Phone: 843 366-2967
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PINKY S. VAIDYA
  • NPI Number: 1114459658
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2131339
LAB Type Physician Office
Facility Name MCLEOD RHEUMATOLOGY SEACOAST
Street 2021 NORTH MYRTLE POINT SUITE 104
City NORTH MYRTLE BEACH
State SC
ZIP 29582
Phone 843 366-2967
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Physician Office
Lab Director PINKY S. VAIDYA

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