42D1015276 CLIA NUMBER - TRI-COUNTY COMMISSION ON ALCOHOL & DRUG ABUSE

Laboratory Demographics

  • CLIA Code: 42D1015276
  • Facility Name: TRI-COUNTY COMMISSION ON ALCOHOL & DRUG ABUSE
  • Facility Address: 910 COOK ROAD
    ORANGEBURG, SC
    ZIP 29118
  • Facility Phone: 803 536-4900
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: WANDA COPELAND
  • NPI Number: 1952572448
  • Taxonomy: 261QH0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1015276
LAB Type Comp. Outpatient Rehab Facility
Facility Name TRI-COUNTY COMMISSION ON ALCOHOL & DRUG ABUSE
Street 910 COOK ROAD
City ORANGEBURG
State SC
ZIP 29118
Phone 803 536-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director WANDA COPELAND

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