42D1033194 CLIA NUMBER - MILESTONES PEDIATRICS LABORATORY

Laboratory Demographics

  • CLIA Code: 42D1033194
  • Facility Name: MILESTONES PEDIATRICS LABORATORY
  • Facility Address: 120 WILDEWOOD PARK DRIVE STE B
    COLUMBIA, SC
    ZIP 29223
  • Facility Phone: 803 788-7882
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOJIBILA O. SOLAJA MD
  • NPI Number: 1376683391
  • Taxonomy: 2080A0000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D1033194
LAB Type Physician Office
Facility Name MILESTONES PEDIATRICS LABORATORY
Street 120 WILDEWOOD PARK DRIVE STE B
City COLUMBIA
State SC
ZIP 29223
Phone 803 788-7882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director MOJIBILA O. SOLAJA MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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