42D1074857 CLIA NUMBER - ORANGEBURG SENIOR HELPING CENTER A PACE HEALTHCARE PROGRAM

Laboratory Demographics

  • CLIA Code: 42D1074857
  • Facility Name: ORANGEBURG SENIOR HELPING CENTER A PACE HEALTHCARE PROGRAM
  • Facility Address: 153 FOUNDERS COURT
    ORANGEBURG, SC
    ZIP 29118
  • Facility Phone: 803 534-1212
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ALLIE KORNEGAY
  • NPI Number: 1225021504
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D1074857
LAB Type Other
Facility Name ORANGEBURG SENIOR HELPING CENTER A PACE HEALTHCARE PROGRAM
Street 153 FOUNDERS COURT
City ORANGEBURG
State SC
ZIP 29118
Phone 803 534-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Other
Lab Director ALLIE KORNEGAY

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