42D2267303 CLIA NUMBER - EXCELSIOR TESTING

Laboratory Demographics

  • CLIA Code: 42D2267303
  • Facility Name: EXCELSIOR TESTING
  • Facility Address: 652 BUSH RIVER ROAD, SUITE 217
    COLUMBIA, SC
    ZIP 29210
  • Facility Phone: 803 735-6306
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MS. DENISE BROWN
  • NPI Number: 1699496265
  • Taxonomy: 247200000X - Technician, Other

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CLIA Record

Field Name Field Value
CLIA Number 42D2267303
LAB Type Independent
Facility Name EXCELSIOR TESTING
Street 652 BUSH RIVER ROAD, SUITE 217
City COLUMBIA
State SC
ZIP 29210
Phone 803 735-6306
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Independent
Lab Director MS. DENISE BROWN

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