42D1039800 CLIA NUMBER - PLASTIC SURGERY CONSULTANTS LLC

Laboratory Demographics

CLIA Number: 42D1039800

Facility Name: PLASTIC SURGERY CONSULTANTS LLC

Facility Address:
1220 BLANDING ST
COLUMBIA, SC
ZIP 29201
Get Directions

Facility Phone Number: 803 779-1200

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1245319094

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	42D1039800
LAB Type	Other
Facility Name	PLASTIC SURGERY CONSULTANTS LLC
Street	1220 BLANDING ST
City	COLUMBIA
State	SC
ZIP	29201
Phone	803 779-1200
CertificateType	4
CertificateEffectiveDate	4/8/2024
CertificateExpirationDate	4/7/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024