42D2130168 CLIA NUMBER - TRIDENT PAIN CENTER

Laboratory Demographics

  • CLIA Code: 42D2130168
  • Facility Name: TRIDENT PAIN CENTER
  • Facility Address: 176 MCSWAIN DRIVE
    WEST COLUMBIA, SC
    ZIP 29169
  • Facility Phone: 843 797-3636
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH E. NOLAN
  • NPI Number: 1659915445
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2130168
LAB Type Physician Office
Facility Name TRIDENT PAIN CENTER
Street 176 MCSWAIN DRIVE
City WEST COLUMBIA
State SC
ZIP 29169
Phone 843 797-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Physician Office
Lab Director JOSEPH E. NOLAN

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