42D2194787 CLIA NUMBER - ORTHOSC

Laboratory Demographics

  • CLIA Code: 42D2194787
  • Facility Name: ORTHOSC
  • Facility Address: 3620 WALTON DRIVE SUITE C-5
    MYRTLE BEACH, SC
    ZIP 29577
  • Facility Phone: 843 213-6150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN PARKER
  • NPI Number: 1174139919
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director STEVEN PARKER

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