42D0249194 CLIA NUMBER - SPRINGDALE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 42D0249194
  • Facility Name: SPRINGDALE FAMILY PRACTICE
  • Facility Address: 3316 PLATT SPRINGS RD
    WEST COLUMBIA, SC
    ZIP 29170
  • Facility Phone: 803 796-1521
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN R. DUNN
  • NPI Number: 1912065327
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0249194
LAB Type Physician Office
Facility Name SPRINGDALE FAMILY PRACTICE
Street 3316 PLATT SPRINGS RD
City WEST COLUMBIA
State SC
ZIP 29170
Phone 803 796-1521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Physician Office
Lab Director JOHN R. DUNN

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