42D0249141 CLIA NUMBER - THREE RIVERS BEHAVIORAL CARE L L C

Laboratory Demographics

  • CLIA Code: 42D0249141
  • Facility Name: THREE RIVERS BEHAVIORAL CARE L L C
  • Facility Address: 2900 SUNSET BLVD
    WEST COLUMBIA, SC
    ZIP 29169
  • Facility Phone: 803 796-9911
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: NOAH DOWNIE
  • NPI Number: 1891149258
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 42D0249141
LAB Type Hospital
Facility Name THREE RIVERS BEHAVIORAL CARE L L C
Street 2900 SUNSET BLVD
City WEST COLUMBIA
State SC
ZIP 29169
Phone 803 796-9911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Hospital
Lab Director NOAH DOWNIE

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