42D1086539 CLIA NUMBER - REFLECTIONS AT CAROLINA FOREST

Laboratory Demographics

  • CLIA Code: 42D1086539
  • Facility Name: REFLECTIONS AT CAROLINA FOREST
  • Facility Address: 219 MIDDLEBURG DR
    MYRTLE BEACH, SC
    ZIP 29579
  • Facility Phone: 843 903-0700
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: WALLACE D. CLARDY
  • NPI Number: 1770886186
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D1086539
LAB Type Assisted Living Facility
Facility Name REFLECTIONS AT CAROLINA FOREST
Street 219 MIDDLEBURG DR
City MYRTLE BEACH
State SC
ZIP 29579
Phone 843 903-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Assisted Living Facility
Lab Director WALLACE D. CLARDY

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