42D2132888 CLIA NUMBER - TIDELANDS HEALTH FAMILY MEDICINE AT HOLMESTOWN RD

Laboratory Demographics

  • CLIA Code: 42D2132888
  • Facility Name: TIDELANDS HEALTH FAMILY MEDICINE AT HOLMESTOWN RD
  • Facility Address: 4320 HOLMESTOWN ROAD
    MYRTLE BEACH, SC
    ZIP 29588
  • Facility Phone: 843 652-1293
  • Facility Type: Other - FAMILY MEDICINE RESIDENCY
  • Facility Type: Microscopy
  • Lab Director: STEVEN A. MEIXEL
  • NPI Number: 1184091795
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 42D2132888
LAB Type Other - FAMILY MEDICINE RESIDENCY
Facility Name TIDELANDS HEALTH FAMILY MEDICINE AT HOLMESTOWN RD
Street 4320 HOLMESTOWN ROAD
City MYRTLE BEACH
State SC
ZIP 29588
Phone 843 652-1293
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 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Other - FAMILY MEDICINE RESIDENCY
Lab Director STEVEN A. MEIXEL

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