42D2070214 CLIA NUMBER - MARKET COMMONS DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 42D2070214
  • Facility Name: MARKET COMMONS DIALYSIS CENTER
  • Facility Address: 1350 FARROW PARKWAY, STE 100
    MYRTLE BEACH, SC
    ZIP 29577
  • Facility Phone: 912 427-8946
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DEBBY T. DESALVO
  • NPI Number: 1376622837
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 42D2070214
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MARKET COMMONS DIALYSIS CENTER
Street 1350 FARROW PARKWAY, STE 100
City MYRTLE BEACH
State SC
ZIP 29577
Phone 912 427-8946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DEBBY T. DESALVO

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