42D2199612 CLIA NUMBER - MCLEOD PRIMARY CARE LITTLE RIVER

Laboratory Demographics

  • CLIA Code: 42D2199612
  • Facility Name: MCLEOD PRIMARY CARE LITTLE RIVER
  • Facility Address: 4237 RIVER HILLS DRIVE, SUITE 100 & SUITE 170
    LITTLE RIVER, SC
    ZIP 29566
  • Facility Phone: 843 366-3030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS S. RIVES
  • NPI Number: 1649547761
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2199612
LAB Type Physician Office
Facility Name MCLEOD PRIMARY CARE LITTLE RIVER
Street 4237 RIVER HILLS DRIVE, SUITE 100 & SUITE 170
City LITTLE RIVER
State SC
ZIP 29566
Phone 843 366-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Physician Office
Lab Director THOMAS S. RIVES

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