42D2260725 CLIA NUMBER - MCLEOD PRIMARY CARE MYRTLE BEACH

Laboratory Demographics

  • CLIA Code: 42D2260725
  • Facility Name: MCLEOD PRIMARY CARE MYRTLE BEACH
  • Facility Address: 907 STARTEK DRIVE
    MYRTLE BEACH, SC
    ZIP 29579
  • Facility Phone: 843 646-8350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRENDAN GRIESMER
  • NPI Number: 1356086151
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2260725
LAB Type Physician Office
Facility Name MCLEOD PRIMARY CARE MYRTLE BEACH
Street 907 STARTEK DRIVE
City MYRTLE BEACH
State SC
ZIP 29579
Phone 843 646-8350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director DR. BRENDAN GRIESMER

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