42D2323168 CLIA NUMBER - MIDLANDS ORTHOPAEDICS & NEUROSURGERY

Laboratory Demographics

  • CLIA Code: 42D2323168
  • Facility Name: MIDLANDS ORTHOPAEDICS & NEUROSURGERY
  • Facility Address: 1825 BLANDING STREET
    COLUMBIA, SC
    ZIP 29201
  • Facility Phone: 803 256-4107
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE A. JACKSON
  • NPI Number: 1124445192
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 42D2323168
LAB Type Physician Office
Facility Name MIDLANDS ORTHOPAEDICS & NEUROSURGERY
Street 1825 BLANDING STREET
City COLUMBIA
State SC
ZIP 29201
Phone 803 256-4107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Physician Office
Lab Director STEPHANIE A. JACKSON

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