CLIA lab

CLIA 42D2217304: Charlotte Dermatology PA

Myrtle Beach, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 42D2217304 belongs to Charlotte Dermatology PA in Myrtle Beach, SC.

Certificate of Compliance, effective April 12, 2026, expires April 11, 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 Compliance
Certificate effective
April 12, 2026
Certificate expiration
April 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 19, 2021
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
42D2217304
Lab name
Charlotte Dermatology PA
Address
8212 Devon Court Bldg 8212, Myrtle Beach, SC 29572
Phone
(330) 749-8623
Fax
(843) 839-2460

Annual test volume the lab reported

Waived tests
150
Other nonwaived tests
650
Total
800

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Myrtle Beach, SC

Related

Questions

What is the CLIA number for Charlotte Dermatology PA in Myrtle Beach?

42D2217304, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Charlotte Dermatology PA hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 42D2217304 expire?

The CMS file lists April 11, 2028 as the certificate expiration date; the certificate took effect April 12, 2026.

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