42D0948827 CLIA NUMBER - COLUMBIA REGIONAL CARE CENTER

Laboratory Demographics

CLIA Number: 42D0948827

Facility Name: COLUMBIA REGIONAL CARE CENTER

Facility Address:
7901 FARROW ROAD
COLUMBIA, SC
ZIP 29203
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Facility Phone Number: 803 935-0505

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1447611488

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name Field Value
CLIA Number 42D0948827
LAB Type Other
Facility Name COLUMBIA REGIONAL CARE CENTER
Street 7901 FARROW ROAD
City COLUMBIA
State SC
ZIP 29203
Phone 803 935-0505
CertificateType 4
CertificateEffectiveDate 7/20/2022
CertificateExpirationDate 7/19/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024