42D2179936 CLIA NUMBER - MAGNOLIA OB/GYN, LLC

Laboratory Demographics

  • CLIA Code: 42D2179936
  • Facility Name: MAGNOLIA OB/GYN, LLC
  • Facility Address: 901 MEDICAL CIRCLE
    MYRTLE BEACH, SC
    ZIP 29572
  • Facility Phone: 843 449-5848
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KARYN C. MARKLEY
  • NPI Number: 1124595319
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 42D2179936
LAB Type Physician Office
Facility Name MAGNOLIA OB/GYN, LLC
Street 901 MEDICAL CIRCLE
City MYRTLE BEACH
State SC
ZIP 29572
Phone 843 449-5848
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 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director KARYN C. MARKLEY

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