42D1090733 CLIA NUMBER - SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH

Laboratory Demographics

  • CLIA Code: 42D1090733
  • Facility Name: SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH
  • Facility Address: 2414 BULL STREET
    COLUMBIA, SC
    ZIP 29201
  • Facility Phone: 803 898-4802
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT L. BANK
  • NPI Number: 1922164326
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 42D1090733
LAB Type Community Clinic
Facility Name SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH
Street 2414 BULL STREET
City COLUMBIA
State SC
ZIP 29201
Phone 803 898-4802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Community Clinic
Lab Director DR. ROBERT L. BANK

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