42D0680696 CLIA NUMBER - ADVANCED DERMATOLOGY OF SOUTH CAROLINA

Laboratory Demographics

  • CLIA Code: 42D0680696
  • Facility Name: ADVANCED DERMATOLOGY OF SOUTH CAROLINA
  • Facility Address: 3574 SUNSET BLVD
    WEST COLUMBIA, SC
    ZIP 29169
  • Facility Phone: 407 284-3407
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: JEFFREY K. SMITH
  • NPI Number: 1861828089
  • Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 42D0680696
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY OF SOUTH CAROLINA
Street 3574 SUNSET BLVD
City WEST COLUMBIA
State SC
ZIP 29169
Phone 407 284-3407
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 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director JEFFREY K. SMITH

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