42D0711127 CLIA NUMBER - PRISMA HEALTH HOMECARE

Laboratory Demographics

  • CLIA Code: 42D0711127
  • Facility Name: PRISMA HEALTH HOMECARE
  • Facility Address: 1205 COLONIAL LIFE BLVD W
    COLUMBIA, SC
    ZIP 29210
  • Facility Phone: 803 296-3100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KIM PRICE
  • NPI Number: 1639590680
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0711127
LAB Type Home Health Agency
Facility Name PRISMA HEALTH HOMECARE
Street 1205 COLONIAL LIFE BLVD W
City COLUMBIA
State SC
ZIP 29210
Phone 803 296-3100
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 Home Health Agency
Lab Director KIM PRICE

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