42D2240642 CLIA NUMBER - CMC PRIMARY CARE LITTLE RIVER

Laboratory Demographics

  • CLIA Code: 42D2240642
  • Facility Name: CMC PRIMARY CARE LITTLE RIVER
  • Facility Address: 4237 RIVER HILLS DRIVE, SUITE 130
    LITTLE RIVER, SC
    ZIP 29566
  • Facility Phone: 843 663-4005
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DAVID JOHNSON
  • NPI Number: 1558025783
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2240642
LAB Type Community Clinic
Facility Name CMC PRIMARY CARE LITTLE RIVER
Street 4237 RIVER HILLS DRIVE, SUITE 130
City LITTLE RIVER
State SC
ZIP 29566
Phone 843 663-4005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Community Clinic
Lab Director DAVID JOHNSON

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