42D2095008 CLIA NUMBER - MURRELLS INLET ASC, LLC D/B/A CAROLINA COAST SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 42D2095008
  • Facility Name: MURRELLS INLET ASC, LLC D/B/A CAROLINA COAST SURGERY CENTER
  • Facility Address: 3545 HWY 17 BYPASS
    MURRELLS INLET, SC
    ZIP 29576
  • Facility Phone: 423 817-5832
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL N. BOHAN
  • NPI Number: 1801394333
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2095008
LAB Type Ambulatory Surgery Center
Facility Name MURRELLS INLET ASC, LLC D/B/A CAROLINA COAST SURGERY CENTER
Street 3545 HWY 17 BYPASS
City MURRELLS INLET
State SC
ZIP 29576
Phone 423 817-5832
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2023
Certificate Expiration Date 4/27/2025
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL N. BOHAN

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This page was last updated on: 3/20/2025