42D2141287 CLIA NUMBER - PALMETTO EXPRESS CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 42D2141287
  • Facility Name: PALMETTO EXPRESS CLINIC, LLC
  • Facility Address: 4959 HWY 17, UNIT B
    MURRELLS INLET, SC
    ZIP 29576
  • Facility Phone: (713) 876-4559
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BRANDY P. VAN HEYDE
  • NPI Number: 1376055038
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 42D2141287
LAB Type Practitioner Other
Facility Name PALMETTO EXPRESS CLINIC, LLC
Street 4959 HWY 17, UNIT B
City MURRELLS INLET
State SC
ZIP 29576
Phone 7138764559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2025
Certificate Expiration Date 12/11/2027
Facility Type Practitioner Other
Lab Director BRANDY P. VAN HEYDE

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This page was last updated on: 5/18/2026