42D0249433 CLIA NUMBER - ALBERT HUMPHREY MD

Laboratory Demographics

  • CLIA Code: 42D0249433
  • Facility Name: ALBERT HUMPHREY MD
  • Facility Address: 4100 N MAIN ST SUITE 203
    COLUMBIA, SC
    ZIP 29203
  • Facility Phone: 803 754-0006
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALBERT HUMPHREY
  • NPI Number: 1770543621
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0249433
LAB Type Physician Office
Facility Name ALBERT HUMPHREY MD
Street 4100 N MAIN ST SUITE 203
City COLUMBIA
State SC
ZIP 29203
Phone 803 754-0006
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director ALBERT HUMPHREY

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