42D0705656 CLIA NUMBER - MIDLANDS CENTER SCDMR

Laboratory Demographics

  • CLIA Code: 42D0705656
  • Facility Name: MIDLANDS CENTER SCDMR
  • Facility Address: 8301 FARROW ROAD
    COLUMBIA, SC
    ZIP 29203
  • Facility Phone: 803 935-7430
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: CEDRIC RIVERS
  • NPI Number: 1750540795
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0705656
LAB Type Hospital
Facility Name MIDLANDS CENTER SCDMR
Street 8301 FARROW ROAD
City COLUMBIA
State SC
ZIP 29203
Phone 803 935-7430
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 Hospital
Lab Director CEDRIC RIVERS

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