42D0248633 CLIA NUMBER - MID CAROLINA INTERNAL MEDICINE ASSOC

Laboratory Demographics

  • CLIA Code: 42D0248633
  • Facility Name: MID CAROLINA INTERNAL MEDICINE ASSOC
  • Facility Address: 131 SUNSET COURT
    WEST COLUMBIA, SC
    ZIP 29169
  • Facility Phone: 803 796-2222
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JOHN M. LAZARO
  • NPI Number: 1497817282
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D0248633
LAB Type Physician Office
Facility Name MID CAROLINA INTERNAL MEDICINE ASSOC
Street 131 SUNSET COURT
City WEST COLUMBIA
State SC
ZIP 29169
Phone 803 796-2222
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Physician Office
Lab Director DR. JOHN M. LAZARO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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