42D2315000 CLIA NUMBER - BAY MICROSURGICAL UNIT, INC

Laboratory Demographics

  • CLIA Code: 42D2315000
  • Facility Name: BAY MICROSURGICAL UNIT, INC
  • Facility Address: 150 VILLAGE CENTER BLVD
    MYRTLE BEACH, SC
    ZIP 29579
  • Facility Phone: 843 546-8421
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DONALD ETHRIDGE
  • NPI Number: 1205026184
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2315000
LAB Type Assisted Living Facility
Facility Name BAY MICROSURGICAL UNIT, INC
Street 150 VILLAGE CENTER BLVD
City MYRTLE BEACH
State SC
ZIP 29579
Phone 843 546-8421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Assisted Living Facility
Lab Director DONALD ETHRIDGE

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