42D2250031 CLIA NUMBER - PALMETTO SOUTHERN COMFORT DIAGNOSTICS

Laboratory Demographics

  • CLIA Code: 42D2250031
  • Facility Name: PALMETTO SOUTHERN COMFORT DIAGNOSTICS
  • Facility Address: 6941 N TRENHOLM ROAD, SUITE I
    COLUMBIA, SC
    ZIP 29206
  • Facility Phone: 803 369-2133
  • Facility Type: Other - DIAGNOSTIC TESTING CENTER
  • Facility Type: Waiver
  • Lab Director: ROLANDA L. GOODWIN
  • NPI Number: 1821586611
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2250031
LAB Type Other - DIAGNOSTIC TESTING CENTER
Facility Name PALMETTO SOUTHERN COMFORT DIAGNOSTICS
Street 6941 N TRENHOLM ROAD, SUITE I
City COLUMBIA
State SC
ZIP 29206
Phone 803 369-2133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Other - DIAGNOSTIC TESTING CENTER
Lab Director ROLANDA L. GOODWIN

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This page was last updated on: 3/20/2025