42D0249810 CLIA NUMBER - SOUTHERNMED PEDIATRICS- NORTHEAST AT FARROW

Laboratory Demographics

  • CLIA Code: 42D0249810
  • Facility Name: SOUTHERNMED PEDIATRICS- NORTHEAST AT FARROW
  • Facility Address: 120 HIGHLAND CENTER DRIVE
    COLUMBIA, SC
    ZIP 29203
  • Facility Phone: 803 520-9380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH A. DELANEY
  • NPI Number: 1982829701
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 42D0249810
LAB Type Physician Office
Facility Name SOUTHERNMED PEDIATRICS- NORTHEAST AT FARROW
Street 120 HIGHLAND CENTER DRIVE
City COLUMBIA
State SC
ZIP 29203
Phone 803 520-9380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Physician Office
Lab Director DR. JOSEPH A. DELANEY

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