42D0992250 CLIA NUMBER - LAUREL CREST RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 42D0992250
  • Facility Name: LAUREL CREST RETIREMENT COMMUNITY
  • Facility Address: 100 JOSEPH WALKER DR
    WEST COLUMBIA, SC
    ZIP 29169
  • Facility Phone: 803 796-0370
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DAVID GREENHOUSE
  • NPI Number: 1427412980
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 42D0992250
LAB Type Other
Facility Name LAUREL CREST RETIREMENT COMMUNITY
Street 100 JOSEPH WALKER DR
City WEST COLUMBIA
State SC
ZIP 29169
Phone 803 796-0370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Other
Lab Director DAVID GREENHOUSE

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