42D2276542 CLIA NUMBER - SURFSIDE BEACH FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 42D2276542
  • Facility Name: SURFSIDE BEACH FIRE DEPARTMENT
  • Facility Address: 810 1ST AVE N
    SURFSIDE BEACH, SC
    ZIP 29575
  • Facility Phone: 843 839-3786
  • Facility Type: Other - NON TRANSPORTING FIRE DEP
  • Facility Type: Waiver
  • Lab Director: ROBERT CLEMONS
  • NPI Number: 1043769524
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2276542
LAB Type Other - NON TRANSPORTING FIRE DEP
Facility Name SURFSIDE BEACH FIRE DEPARTMENT
Street 810 1ST AVE N
City SURFSIDE BEACH
State SC
ZIP 29575
Phone 843 839-3786
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Other - NON TRANSPORTING FIRE DEP
Lab Director ROBERT CLEMONS

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