VIBRANCE SCREENING AND WELLNESS LLC
NPI 1215616784
Clinical Medical Laboratory in West Columbia, SC

Active since July 12, 2023CLIA 42D2265760 · Waiver
223 CALICO CT, WEST COLUMBIA, SC 29172(803) 383-5818 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 6, 2024, Jul 12, 2023 (2 updates tracked since 2023).

About Vibrance Screening And Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIBRANCE SCREENING AND WELLNESS LLC (NPI 1215616784) is a healthcare organization registered as a clinical medical laboratory in West Columbia, South Carolina and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through August 1, 2026 and lists Deaundria Fredrick, Owner, as its authorized official.

NPPES Registry Identity

NPI1215616784
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameVIBRANCE SCREENING AND WELLNESS LLC
Location Address223 CALICO CTWest Columbia, SC 29172-2608
Mailing Address1304 Sunset Blvd # 1161West Columbia, SC 29169-5914 · (803) 386-7719
Organization SubpartNo
Authorized OfficialDeaundria FredrickOwner · (803) 386-7719
Enumeration DateJuly 12, 2023
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
NPI 1215616784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

223 CALICO CT, West Columbia, SC 29172

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2265760

Vibrance Screening And Wellness · Columbia, SC
Active · expires Aug 1, 2026
CLIA Number42D2265760
Laboratory TypeMobile Laboratory
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorDeaundria S. Fredrick
Laboratory Phone(803) 386-7719
Laboratory LocationVibrance Screening And Wellness7358 Garners Ferry Road Ste 114, Columbia, SC 29209
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Community Health)
223 CALICO CT
WEST COLUMBIA, SC 29172

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215616784, enumerated as an "organization" on July 12, 2023.

The provider is located at 223 CALICO CT WEST COLUMBIA, SC 29172 and the phone number is (803) 383-5818.

Clinical Medical Laboratory with taxonomy code 291U00000X.