42D2276553 CLIA NUMBER - PREMIUM LABS

Laboratory Demographics

  • CLIA Code: 42D2276553
  • Facility Name: PREMIUM LABS
  • Facility Address: 6729 TWO NOTCH ROAD, SUITE 130M
    COLUMBIA, SC
    ZIP 29223
  • Facility Phone: 803 398-9500
  • Facility Type: Other - DIAGNOSTIC TESTING
  • Facility Type: Waiver
  • Lab Director: FELISHA HUGEE
  • NPI Number: 1649977398
  • Taxonomy: 305S00000X - Point of Service

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CLIA Record

Field Name Field Value
CLIA Number 42D2276553
LAB Type Other - DIAGNOSTIC TESTING
Facility Name PREMIUM LABS
Street 6729 TWO NOTCH ROAD, SUITE 130M
City COLUMBIA
State SC
ZIP 29223
Phone 803 398-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Other - DIAGNOSTIC TESTING
Lab Director FELISHA HUGEE

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