42D1107258 CLIA NUMBER - BRIGHTWATER HOME HEALTH

Laboratory Demographics

  • CLIA Code: 42D1107258
  • Facility Name: BRIGHTWATER HOME HEALTH
  • Facility Address: 101 BRIGHTWATER DRIVE
    MYRTLE BEACH, SC
    ZIP 29579
  • Facility Phone: 843 903-8300
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CATHERINE HAFNER
  • NPI Number: 1043529795
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 42D1107258
LAB Type Home Health Agency
Facility Name BRIGHTWATER HOME HEALTH
Street 101 BRIGHTWATER DRIVE
City MYRTLE BEACH
State SC
ZIP 29579
Phone 843 903-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Home Health Agency
Lab Director CATHERINE HAFNER

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