42D2041018 CLIA NUMBER - MIDWAY FIRE RESCUE

Laboratory Demographics

  • CLIA Code: 42D2041018
  • Facility Name: MIDWAY FIRE RESCUE
  • Facility Address: 57 SAINT PAULS PLACE
    PAWLEYS ISLAND, SC
    ZIP 29585
  • Facility Phone: 843 545-3620
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRENT A. MCCLELLAN
  • NPI Number: 1164869673
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2041018
LAB Type Ambulance
Facility Name MIDWAY FIRE RESCUE
Street 57 SAINT PAULS PLACE
City PAWLEYS ISLAND
State SC
ZIP 29585
Phone 843 545-3620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Ambulance
Lab Director BRENT A. MCCLELLAN

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