42D0705163 CLIA NUMBER - EPWORTH CHILDRENS HOME INFIRMARY

Laboratory Demographics

  • CLIA Code: 42D0705163
  • Facility Name: EPWORTH CHILDRENS HOME INFIRMARY
  • Facility Address: 2900 MILLWOOD AVENUE
    COLUMBIA, SC
    ZIP 29250
  • Facility Phone: 803 256-7394
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DEBRA WILKINS
  • NPI Number: 1952947848
  • Taxonomy: 253J00000X - Foster Care Agency

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CLIA Record

Field Name Field Value
CLIA Number 42D0705163
LAB Type Other
Facility Name EPWORTH CHILDRENS HOME INFIRMARY
Street 2900 MILLWOOD AVENUE
City COLUMBIA
State SC
ZIP 29250
Phone 803 256-7394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other
Lab Director DEBRA WILKINS

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