42D2266902 CLIA NUMBER - KEYSTONE SUBSTANCE ABUSE SERVICES

Laboratory Demographics

  • CLIA Code: 42D2266902
  • Facility Name: KEYSTONE SUBSTANCE ABUSE SERVICES
  • Facility Address: 1668 HERLONG COURT
    ROCK HILL, SC
    ZIP 29732
  • Facility Phone: 803 324-1800
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Certificate of Compliance
  • Lab Director: WANKIACUS COBLE
  • NPI Number: 1255334009
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 42D2266902
LAB Type Federally Qualified Health Center
Facility Name KEYSTONE SUBSTANCE ABUSE SERVICES
Street 1668 HERLONG COURT
City ROCK HILL
State SC
ZIP 29732
Phone 803 324-1800
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Federally Qualified Health Center
Lab Director WANKIACUS COBLE

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