42D0249766 CLIA NUMBER - HARBISON MEDICAL ASSOCIATES PA

Laboratory Demographics

  • CLIA Code: 42D0249766
  • Facility Name: HARBISON MEDICAL ASSOCIATES PA
  • Facility Address: 1526 LAKE MURRAY BOULEVARD
    COLUMBIA, SC
    ZIP 29212
  • Facility Phone: 803 749-1155
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. GREGORY K. FULCHER
  • NPI Number: 1285648105
  • Taxonomy: 103TC1900X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 42D0249766
LAB Type Physician Office
Facility Name HARBISON MEDICAL ASSOCIATES PA
Street 1526 LAKE MURRAY BOULEVARD
City COLUMBIA
State SC
ZIP 29212
Phone 803 749-1155
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 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director DR. GREGORY K. FULCHER

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