CLIA lab

CLIA 42D1007789: Coastal Carolina CTR of Urology & Surg

Conway, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 42D1007789 belongs to Coastal Carolina CTR of Urology & Surg in Conway, SC.

Certificate for Provider-Performed Microscopy Procedures, effective December 31, 2024, expires December 30, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate for Provider-Performed Microscopy Procedures
Certificate effective
December 31, 2024
Certificate expiration
December 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 31, 2002
Facility type
Ambulatory surgery center
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
42D1007789
Lab name
Coastal Carolina CTR of Urology & Surg
Additional name
LLC DBA Rivertown Surgery Center
Address
822 Farrar Drive, Conway, SC 29526
Phone
(843) 347-9587
Fax
(843) 347-9633

Annual test volume the lab reported

Waived tests
1,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Coastal Carolina CTR of Urology & Surg in Conway?

42D1007789, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Coastal Carolina CTR of Urology & Surg hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 42D1007789 expire?

The CMS file lists December 30, 2026 as the certificate expiration date; the certificate took effect December 31, 2024.

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