42D2182343 CLIA NUMBER - COASTAL HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 42D2182343
  • Facility Name: COASTAL HEALTH, LLC
  • Facility Address: 2420 HOFFMEYER ROAD, SUITE C
    FLORENCE, SC
    ZIP 29501
  • Facility Phone: 843 407-7413
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: WILLIAM POOLE
  • NPI Number: 1518508050
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 42D2182343
LAB Type Home Health Agency
Facility Name COASTAL HEALTH, LLC
Street 2420 HOFFMEYER ROAD, SUITE C
City FLORENCE
State SC
ZIP 29501
Phone 843 407-7413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Home Health Agency
Lab Director WILLIAM POOLE

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