42D2259595 CLIA NUMBER - SEASIDE SPINE SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 42D2259595
  • Facility Name: SEASIDE SPINE SPECIALISTS LLC
  • Facility Address: 110 TRADERS CROSS, 1ST FLOOR CM 218
    BLUFFTON, SC
    ZIP 29909
  • Facility Phone: 843 553-7615
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. LOGAN KINCH
  • NPI Number: 1588316046
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 42D2259595
LAB Type Physician Office
Facility Name SEASIDE SPINE SPECIALISTS LLC
Street 110 TRADERS CROSS, 1ST FLOOR CM 218
City BLUFFTON
State SC
ZIP 29909
Phone 843 553-7615
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/9/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. LOGAN KINCH

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