42D2236831 CLIA NUMBER - SUSAN LANG, LISW-CP

Laboratory Demographics

  • CLIA Code: 42D2236831
  • Facility Name: SUSAN LANG, LISW-CP
  • Facility Address: 2111 HWY 17 SOUTH UNIT 3
    NORTH MYRTLE BEACH, SC
    ZIP 29582
  • Facility Phone: 843 491-3344
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY JANE MCMANUS
  • NPI Number: 1093373813
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 42D2236831
LAB Type Physician Office
Facility Name SUSAN LANG, LISW-CP
Street 2111 HWY 17 SOUTH UNIT 3
City NORTH MYRTLE BEACH
State SC
ZIP 29582
Phone 843 491-3344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2023
Certificate Expiration Date 9/20/2025
Facility Type Physician Office
Lab Director MARY JANE MCMANUS

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This page was last updated on: 6/4/2025