42D2072055 CLIA NUMBER - SUNSET FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 42D2072055
  • Facility Name: SUNSET FAMILY PRACTICE
  • Facility Address: 2379 AUGUSTA RAOD
    WEST COLUMBIA, SC
    ZIP 29169
  • Facility Phone: 803 794-8776
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANETTE STREET
  • NPI Number: 1346668126
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2072055
LAB Type Physician Office
Facility Name SUNSET FAMILY PRACTICE
Street 2379 AUGUSTA RAOD
City WEST COLUMBIA
State SC
ZIP 29169
Phone 803 794-8776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director JANETTE STREET

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