42D2178709 CLIA NUMBER - MCLEOD OB/GYN SEACOAST

Laboratory Demographics

  • CLIA Code: 42D2178709
  • Facility Name: MCLEOD OB/GYN SEACOAST
  • Facility Address: 115 MCLEOD HEALTH BLVD, SUITE 201
    MYRTLE BEACH, SC
    ZIP 29579
  • Facility Phone: 843 339-3100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ELENA GORE
  • NPI Number: 1396031985
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 42D2178709
LAB Type Physician Office
Facility Name MCLEOD OB/GYN SEACOAST
Street 115 MCLEOD HEALTH BLVD, SUITE 201
City MYRTLE BEACH
State SC
ZIP 29579
Phone 843 339-3100
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 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Physician Office
Lab Director DR. ELENA GORE

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