42D2237023 CLIA NUMBER - INCLUSIVE HEALTHCARE CENTER

Laboratory Demographics

CLIA Number: 42D2237023

Facility Name: INCLUSIVE HEALTHCARE CENTER

Facility Address:
4882 SOCASTEE BLVD
MYRTLE BEACH, SC
ZIP 29588
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Facility Phone Number: 843 668-2744

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1144811068

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D2237023
LAB Type	Community Clinic
Facility Name	INCLUSIVE HEALTHCARE CENTER
Street	4882 SOCASTEE BLVD
City	MYRTLE BEACH
State	SC
ZIP	29588
Phone	843 668-2744
CertificateType	3
CertificateEffectiveDate	9/22/2023
CertificateExpirationDate	9/21/2025
FacilityType	PPMP

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