42D1003749 CLIA NUMBER - SPRING VALLEY FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 42D1003749
  • Facility Name: SPRING VALLEY FAMILY PRACTICE
  • Facility Address: 21 GATEWAY CORNERS PARK
    COLUMBIA, SC
    ZIP 29203
  • Facility Phone: 803 419-4949
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SARAH S. COTTINGHAM
  • NPI Number: 1205889789
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1003749
LAB Type Physician Office
Facility Name SPRING VALLEY FAMILY PRACTICE
Street 21 GATEWAY CORNERS PARK
City COLUMBIA
State SC
ZIP 29203
Phone 803 419-4949
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director DR. SARAH S. COTTINGHAM

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