42D2263284 CLIA NUMBER - VIBRANT DIAGNOSTICS LLC

Laboratory Demographics

  • CLIA Code: 42D2263284
  • Facility Name: VIBRANT DIAGNOSTICS LLC
  • Facility Address: 514 SECOND LOOP ROAD, SUITE D
    FLORENCE, SC
    ZIP 29505
  • Facility Phone: (843) 799-0888
  • Facility Type: Other - DIAGNOSTIC TESTING LAB
  • Facility Type: Waiver
  • Lab Director: MS. SHIANDRA K. DAVIS
  • NPI Number: 1962133272
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2263284
LAB Type Other - DIAGNOSTIC TESTING LAB
Facility Name VIBRANT DIAGNOSTICS LLC
Street 514 SECOND LOOP ROAD, SUITE D
City FLORENCE
State SC
ZIP 29505
Phone 8437990888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Other - DIAGNOSTIC TESTING LAB
Lab Director MS. SHIANDRA K. DAVIS

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This page was last updated on: 5/18/2026