42D2179374 CLIA NUMBER - POLARIS SKIN DIAGNOSTICS

Laboratory Demographics

  • CLIA Code: 42D2179374
  • Facility Name: POLARIS SKIN DIAGNOSTICS
  • Facility Address: 8170 ROURK ST SUITE 100
    MYRTLE BEACH, SC
    ZIP 29572
  • Facility Phone: 843 282-1915
  • Facility Type: Practitioner Other
  • Facility Type: Certificate of Compliance
  • Lab Director: STEPHEN B. HAMMOND
  • NPI Number: 1215575238
  • Taxonomy: 207ND0900X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2179374
LAB Type Practitioner Other
Facility Name POLARIS SKIN DIAGNOSTICS
Street 8170 ROURK ST SUITE 100
City MYRTLE BEACH
State SC
ZIP 29572
Phone 843 282-1915
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/12/2022
Certificate Expiration Date 10/31/2025
Facility Type Practitioner Other
Lab Director STEPHEN B. HAMMOND

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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