42D2194329 CLIA NUMBER - PRISMA HEALTH MEDICAL GROUP MATERNAL FETAL MEDICINE

Laboratory Demographics

  • CLIA Code: 42D2194329
  • Facility Name: PRISMA HEALTH MEDICAL GROUP MATERNAL FETAL MEDICINE
  • Facility Address: 2 MEDICAL PARK LOWER LEVEL
    COLUMBIA, SC
    ZIP 29203
  • Facility Phone: 803 434-9660
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANTHONY GREGG
  • NPI Number: 1740334911
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 42D2194329
LAB Type Physician Office
Facility Name PRISMA HEALTH MEDICAL GROUP MATERNAL FETAL MEDICINE
Street 2 MEDICAL PARK LOWER LEVEL
City COLUMBIA
State SC
ZIP 29203
Phone 803 434-9660
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Physician Office
Lab Director ANTHONY GREGG

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