CLIA lab
CLIA 42D0917515: Executive Medical Specialists
Surfside Beach, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D0917515 belongs to Executive Medical Specialists in Surfside Beach, SC.
Certificate of Waiver, effective July 22, 2026, expires July 21, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 22, 2026
- Certificate expiration
- July 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 22, 1996
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 42D0917515
- Lab name
- Executive Medical Specialists
- Address
- 997 Hwy 17 Bus So, Surfside Beach, SC 29575
- Phone
- (843) 497-6301
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Surfside Beach, SC
- CMC Primary Care at Surfside BeachCertificate of Waiver, Public health laboratory42D0252167
- Charleston Carenow Urgent Care, LLCCertificate of Waiver, Physician office42D2164256
- Genetic Code DiagnosticsCertificate of Waiver, Mobile lab42D2321892
- Grand Strand Pediatrics Adolescent MedCertificate of Compliance, Physician office42D0706929
- Novant Health Urgent Care SurfsideCertificate of Waiver, Physician office42D0252127
- South Carolina CVS Pharmacy, LLCCertificate of Waiver, Pharmacy42D2227510
- Surfside Beach Fire DepartmentCertificate of Waiver, Other42D2276542
- Walmart Pharmacy 10-574Certificate of Waiver, Pharmacy42D2174271
Related
Questions
What is the CLIA number for Executive Medical Specialists in Surfside Beach?
42D0917515, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Executive Medical Specialists hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D0917515 expire?
The CMS file lists July 21, 2028 as the certificate expiration date; the certificate took effect July 22, 2026.