42D2035327 CLIA NUMBER - MEDCARE EXPRESS - NORTH CHARLESTON, LLC DBA MEDCARE - WEST COLUMBIA

Laboratory Demographics

  • CLIA Code: 42D2035327
  • Facility Name: MEDCARE EXPRESS - NORTH CHARLESTON, LLC DBA MEDCARE - WEST COLUMBIA
  • Facility Address: 110 MEDICAL CIRCLE
    WEST COLUMBIA, SC
    ZIP 29169
  • Facility Phone: 803 509-7316
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. IFEKAN SIMON
  • NPI Number: 1891065520
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2035327
LAB Type Physician Office
Facility Name MEDCARE EXPRESS - NORTH CHARLESTON, LLC DBA MEDCARE - WEST COLUMBIA
Street 110 MEDICAL CIRCLE
City WEST COLUMBIA
State SC
ZIP 29169
Phone 803 509-7316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director DR. IFEKAN SIMON

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