42D2310272 CLIA NUMBER - PRISMA HEALTH AMBULANCE SVC-MIDLANDS

Laboratory Demographics

  • CLIA Code: 42D2310272
  • Facility Name: PRISMA HEALTH AMBULANCE SVC-MIDLANDS
  • Facility Address: 2955 COLONIAL DRIVE
    COLUMBIA, SC
    ZIP 29203
  • Facility Phone: 803 434-3092
  • Facility Type: Ambulance
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHNATHON W. ELKES
  • NPI Number: 1053492280
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2310272
LAB Type Ambulance
Facility Name PRISMA HEALTH AMBULANCE SVC-MIDLANDS
Street 2955 COLONIAL DRIVE
City COLUMBIA
State SC
ZIP 29203
Phone 803 434-3092
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 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Ambulance
Lab Director JOHNATHON W. ELKES

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