42D0249357 CLIA NUMBER - COLUMBIA MEDICAL GROUP, THE

Laboratory Demographics

  • CLIA Code: 42D0249357
  • Facility Name: COLUMBIA MEDICAL GROUP, THE
  • Facility Address: 4540 TRENHOLM RD
    COLUMBIA, SC
    ZIP 29206
  • Facility Phone: 803 790-4700
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. RUBEN MAYER
  • NPI Number: 1437701364
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 42D0249357
LAB Type Physician Office
Facility Name COLUMBIA MEDICAL GROUP, THE
Street 4540 TRENHOLM RD
City COLUMBIA
State SC
ZIP 29206
Phone 803 790-4700
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. RUBEN MAYER

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