42D2270268 CLIA NUMBER - WACCAMAW DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 42D2270268
  • Facility Name: WACCAMAW DERMATOLOGY
  • Facility Address: SOUTH STRAND MEDICAL CENTER, SUITE 200 5046 HWY 17 BYPASS
    MYRTLE BEACH, SC
    ZIP 29588
  • Facility Phone: (843) 449-0453
  • Facility Type: Practitioner Other
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BRANDON COAKLEY
  • NPI Number: 1437308814
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 42D2270268
LAB Type Practitioner Other
Facility Name WACCAMAW DERMATOLOGY
Street SOUTH STRAND MEDICAL CENTER, SUITE 200 5046 HWY 17 BYPASS
City MYRTLE BEACH
State SC
ZIP 29588
Phone 8434490453
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 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Practitioner Other
Lab Director DR. BRANDON COAKLEY

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This page was last updated on: 5/18/2026