42D0981669 CLIA NUMBER - ACTIVE DAY OF GRAND STRAND

Laboratory Demographics

  • CLIA Code: 42D0981669
  • Facility Name: ACTIVE DAY OF GRAND STRAND
  • Facility Address: 3880 HOUNDSFIELD AVE
    MYRTLE BEACH, SC
    ZIP 29577
  • Facility Phone: 843 626-8501
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: WAIDES A. ASHMON
  • NPI Number: 1619017027
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0981669
LAB Type Other
Facility Name ACTIVE DAY OF GRAND STRAND
Street 3880 HOUNDSFIELD AVE
City MYRTLE BEACH
State SC
ZIP 29577
Phone 843 626-8501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Other
Lab Director WAIDES A. ASHMON

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