42D2168863 CLIA NUMBER - FOREST ACRES DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D2168863
  • Facility Name: FOREST ACRES DIALYSIS
  • Facility Address: 4450 ROSEWOOD DRIVE
    COLUMBIA, SC
    ZIP 29209
  • Facility Phone: 803 695-3214
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN E. OSAGUONA
  • NPI Number: 1497398705
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2168863
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FOREST ACRES DIALYSIS
Street 4450 ROSEWOOD DRIVE
City COLUMBIA
State SC
ZIP 29209
Phone 803 695-3214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director STEPHEN E. OSAGUONA

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