42D0894352 CLIA NUMBER - LIFE CARE CENTER OF COLUMBIA

Laboratory Demographics

  • CLIA Code: 42D0894352
  • Facility Name: LIFE CARE CENTER OF COLUMBIA
  • Facility Address: 2514 FARAWAY DRIVE
    COLUMBIA, SC
    ZIP 29223
  • Facility Phone: 803 790-1999
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TINA M. SKINNER
  • NPI Number: 1710910492
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D0894352
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF COLUMBIA
Street 2514 FARAWAY DRIVE
City COLUMBIA
State SC
ZIP 29223
Phone 803 790-1999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TINA M. SKINNER

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