42D2290900 CLIA NUMBER - MCLEOD NEUROLOGY SEACOAST

Laboratory Demographics

  • CLIA Code: 42D2290900
  • Facility Name: MCLEOD NEUROLOGY SEACOAST
  • Facility Address: 3980 HIGHWAY 9 EAST, SUITE 300
    LITTLE RIVER, SC
    ZIP 29566
  • Facility Phone: 843 366-8040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KUSHAGRA MAINI
  • NPI Number: 1902183759
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 42D2290900
LAB Type Physician Office
Facility Name MCLEOD NEUROLOGY SEACOAST
Street 3980 HIGHWAY 9 EAST, SUITE 300
City LITTLE RIVER
State SC
ZIP 29566
Phone 843 366-8040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2023
Certificate Expiration Date 10/2/2025
Facility Type Physician Office
Lab Director DR. KUSHAGRA MAINI

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