CLIA lab
CLIA 42D2294784: Angelic Primary Medicine of SC, LLC
Myrtle Beach, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2294784 belongs to Angelic Primary Medicine of SC, LLC in Myrtle Beach, SC.
Certificate of Waiver, effective November 30, 2025, expires November 29, 2027.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 30, 2025
- Certificate expiration
- November 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 30, 2023
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 42D2294784
- Lab name
- Angelic Primary Medicine of SC, LLC
- Address
- 923-B Medical Circle, Myrtle Beach, SC 29572
- Phone
- (843) 780-8589
- Fax
- (843) 913-8461
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Myrtle Beach, SC
- Active Day of Grand StrandCertificate of Waiver, Other42D0981669
- Adma Biocenters Georgia, IncCertificate of Compliance, Other42D2235902
- Advanced Medical SolutionsCertificate of Waiver, Other42D2151286
- Agape Senior Primary CareCertificate of Waiver, Other42D2179686
- Agape Senior Primary Care, IncCertificate of Waiver, Physician office42D1009292
- Allergy Asthma & Sinus CenterCertificate for Provider-Performed Microscopy Procedures, Physician office42D0923402
- Alliance for Multispecialty Research LLCCertificate of Waiver, Other42D2315479
- American Health Imaging of Myrtle BeachCertificate of Waiver, Other42D2343877
- American National Red Cross, Myrtle Beach, SC, theCertificate of Waiver, Other42D0967652
- Angel Oak Nursing and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility42D1001460
Related
Questions
What is the CLIA number for Angelic Primary Medicine of SC, LLC in Myrtle Beach?
42D2294784, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Angelic Primary Medicine of SC, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2294784 expire?
The CMS file lists November 29, 2027 as the certificate expiration date; the certificate took effect November 30, 2025.