42D2238536 CLIA NUMBER - ATLANTIC COAST ADULT MEDICINE

Laboratory Demographics

  • CLIA Code: 42D2238536
  • Facility Name: ATLANTIC COAST ADULT MEDICINE
  • Facility Address: 2767 CULTRA ROAD, ROOM 1A
    CONWAY, SC
    ZIP 29526
  • Facility Phone: 843 438-8470
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD KLINE
  • NPI Number: 1447293790
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 42D2238536
LAB Type Physician Office
Facility Name ATLANTIC COAST ADULT MEDICINE
Street 2767 CULTRA ROAD, ROOM 1A
City CONWAY
State SC
ZIP 29526
Phone 843 438-8470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Physician Office
Lab Director RICHARD KLINE

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