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42D2194787 CLIA NUMBER - ORTHOSC

Laboratory Demographics

CLIA Number: 42D2194787

Facility Name: ORTHOSC

Facility Address:
3620 WALTON DRIVE SUITE C-5
MYRTLE BEACH, SC
ZIP 29577
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Facility Phone Number: 843 213-6150

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1174139919

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 42D2194787
LAB Type Physician Office
Facility Name ORTHOSC
Street 3620 WALTON DRIVE SUITE C-5
City MYRTLE BEACH
State SC
ZIP 29577
Phone 843 213-6150
CertificateType 4
CertificateEffectiveDate 10/2/2022
CertificateExpirationDate 10/1/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024