42D2104967 CLIA NUMBER - PRISMA HEALTH EMPLOYEE HEALTH

Laboratory Demographics

  • CLIA Code: 42D2104967
  • Facility Name: PRISMA HEALTH EMPLOYEE HEALTH
  • Facility Address: 9 MEDICAL PARK, SUITE 360
    COLUMBIA, SC
    ZIP 29203
  • Facility Phone: 803 434-7145
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN KOPERA
  • NPI Number: 1003327792
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 42D2104967
LAB Type Physician Office
Facility Name PRISMA HEALTH EMPLOYEE HEALTH
Street 9 MEDICAL PARK, SUITE 360
City COLUMBIA
State SC
ZIP 29203
Phone 803 434-7145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Physician Office
Lab Director KEVIN KOPERA

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