42D1088990 CLIA NUMBER - PALMETTO PAIN MANAGEMENT, LLC

Laboratory Demographics

  • CLIA Code: 42D1088990
  • Facility Name: PALMETTO PAIN MANAGEMENT, LLC
  • Facility Address: 2611 FOREST DRIVE SUITE 200
    COLUMBIA, SC
    ZIP 29204
  • Facility Phone: 803 779-3263
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BRADLEY HALL
  • NPI Number: 1518337831
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1088990
LAB Type Physician Office
Facility Name PALMETTO PAIN MANAGEMENT, LLC
Street 2611 FOREST DRIVE SUITE 200
City COLUMBIA
State SC
ZIP 29204
Phone 803 779-3263
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/10/2023
Certificate Expiration Date 6/30/2025
Facility Type Physician Office
Lab Director BRADLEY HALL

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This page was last updated on: 6/4/2025