42D2265760 CLIA NUMBER - VIBRANCE SCREENING AND WELLNESS

Laboratory Demographics

  • CLIA Code: 42D2265760
  • Facility Name: VIBRANCE SCREENING AND WELLNESS
  • Facility Address: 223 CALICO COURT
    WEST COLUMBIA, SC
    ZIP 29172
  • Facility Phone: 803 386-7719
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DEAUNDRIA S. FREDRICK
  • NPI Number: 1215616784
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 42D2265760
LAB Type Mobile Laboratory
Facility Name VIBRANCE SCREENING AND WELLNESS
Street 223 CALICO COURT
City WEST COLUMBIA
State SC
ZIP 29172
Phone 803 386-7719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Mobile Laboratory
Lab Director DEAUNDRIA S. FREDRICK

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