42D2280349 CLIA NUMBER - CMC PRIMARY CARE BELLAMY AVENUE

Laboratory Demographics

  • CLIA Code: 42D2280349
  • Facility Name: CMC PRIMARY CARE BELLAMY AVENUE
  • Facility Address: 631 BELLAMY AVENUE, UNIT A
    MURRELLS INLET, SC
    ZIP 29576
  • Facility Phone: 843 651-0550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TISHA WILLIAMS
  • NPI Number: 1972236297
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2280349
LAB Type Physician Office
Facility Name CMC PRIMARY CARE BELLAMY AVENUE
Street 631 BELLAMY AVENUE, UNIT A
City MURRELLS INLET
State SC
ZIP 29576
Phone 843 651-0550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Physician Office
Lab Director DR. TISHA WILLIAMS

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