42D0969655 CLIA NUMBER - PALMETTO SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 42D0969655
  • Facility Name: PALMETTO SURGERY CENTER
  • Facility Address: 109 BLARNEY DRIVE
    COLUMBIA, SC
    ZIP 29223
  • Facility Phone: 803 865-8200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. LAWRENCE D. GRANT
  • NPI Number: 1073505038
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0969655
LAB Type Ambulatory Surgery Center
Facility Name PALMETTO SURGERY CENTER
Street 109 BLARNEY DRIVE
City COLUMBIA
State SC
ZIP 29223
Phone 803 865-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. LAWRENCE D. GRANT

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