42D0249573 CLIA NUMBER - PLANNED PARENTHOOD SOUTH ATLANTIC

Laboratory Demographics

  • CLIA Code: 42D0249573
  • Facility Name: PLANNED PARENTHOOD SOUTH ATLANTIC
  • Facility Address: 2712 MIDDLEBURG DR SUITE 107
    COLUMBIA, SC
    ZIP 29204
  • Facility Phone: 803 256-4908
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JACK SIMMONS
  • NPI Number: 1851438147
  • Taxonomy: 261QA0005X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D0249573
LAB Type Physician Office
Facility Name PLANNED PARENTHOOD SOUTH ATLANTIC
Street 2712 MIDDLEBURG DR SUITE 107
City COLUMBIA
State SC
ZIP 29204
Phone 803 256-4908
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 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director DR. JACK SIMMONS

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