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CONCIERGE MEDICAL LAB
NPI 1366220758
Clinic/Center - Primary Care in Columbia, SC

Active since September 18, 2023CLIA 42D2154656 · Waiver
110 WILDEWOOD PARK DR STE A, COLUMBIA, SC 29223(803) 722-9888(803) 656-8135 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Concierge Medical Lab NPPES

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

CONCIERGE MEDICAL LAB (NPI 1366220758) is a healthcare organization registered as a primary care in Columbia, South Carolina and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Sarah Doctor-greenwade, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1366220758
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCONCIERGE MEDICAL LAB
Location Address110 WILDEWOOD PARK DR STE AColumbia, SC 29223-4301
Mailing AddressPo Box 23328Columbia, SC 29224-3328 · (803) 722-4988 · Fax (803) 656-8135
Phone(803) 722-9888
Fax(803) 656-8135
Organization SubpartYesParent: Concierge Medical Group Llc
Authorized OfficialSarah Doctor-greenwadeChief Executive Officer · (803) 722-4988
Enumeration DateSeptember 18, 2023
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1366220758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal Medicine · Clinical & Laboratory ImmunologyTaxonomy 207RI0001X
Also ListedTechnician, Pathology · Medical LaboratoryTaxonomy 246RM2200X
110 WILDEWOOD PARK DR STE A, Columbia, SC 29223
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Other Names 1

Doing Business AsConcierge Medical Lab

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 42D2154656

Concierge Medical Group · Columbia, SC
Active · expires Sep 16, 2026
CLIA Number42D2154656
Laboratory TypeMobile Laboratory
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorOliver Harden
Laboratory Phone(803) 722-4988
Laboratory LocationConcierge Medical Group140 Wildewood Park Dr Suite 107, Columbia, SC 29223
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

OLIVER PIERRE HARDEN M.D.
Hospitalist
110 WILDEWOOD PARK DR STE A
COLUMBIA, SC 29223
Richland County (803) 722-4988
CONCIERGE MEDICAL GROUP LLC
Clinic/Center (Primary Care)
110 WILDEWOOD PARK DR STE A
COLUMBIA, SC 29223
Richland County (803) 722-4988

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Concierge Medical Lab's NPI number?

The NPI number for Concierge Medical Lab is 1366220758. It was assigned to this organization in the NPPES registry on September 18, 2023.

Where is Concierge Medical Lab located?

Concierge Medical Lab is located at 110 Wildewood Park Dr Ste A, Columbia, SC 29223. The listed phone number is (803) 722-9888.

What is Concierge Medical Lab's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Concierge Medical Lab hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2154656) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Concierge Medical Lab was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.