AG SCREENING LAB, LLC
NPI 1528704830
Clinical Medical Laboratory in Latta, SC

Active since May 10, 2022CLIA 42D2257730 · Waiver
108A E MAIN ST, LATTA, SC 29565(843) 418-1197(843) 418-1097 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ag Screening Lab, Llc NPPES

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

AG SCREENING LAB, LLC (NPI 1528704830) is a healthcare organization registered as a clinical medical laboratory in Latta, South Carolina and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Lometria Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1528704830
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameAG SCREENING LAB, LLC
Location Address108A E MAIN STLatta, SC 29565-1617
Mailing Address108a E Main StLatta, SC 29565-1617 · (843) 418-1197 · Fax (843) 418-1097
Fax(843) 418-1097
Organization SubpartNo
Authorized OfficialLometria WilsonOwner · (843) 616-8770
Enumeration DateMay 10, 2022
NPPES CertifiedMay 10, 2022
✔ NPI 1528704830 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.
108A E MAIN ST, Latta, SC 29565

Other Identifiers 1

Medicaid42D2257730SC

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 42D2257730

Ag Screening Lab, LLC · Latta, SC
Active · expires Apr 10, 2028
CLIA Number42D2257730
Laboratory TypeIndependent
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorMs. Lometria Wilson
Laboratory Phone(843) 616-8770
Laboratory LocationAg Screening Lab, LLC108A E Main Street, Latta, SC 29565
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Durable Medical Equipment & Medical Supplies
108A E MAIN ST
LATTA, SC 29565
Clinic/Center (Rural Health)
108A E MAIN ST
LATTA, SC 29565
Durable Medical Equipment & Medical Supplies
108A E MAIN ST
LATTA, SC 29565
Nurse's Aide
108A E MAIN ST
LATTA, SC 29565

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 Ag Screening Lab, LLC's NPI number?

The NPI number for Ag Screening Lab, LLC is 1528704830. It was assigned to this organization in the NPPES registry on May 10, 2022.

Where is Ag Screening Lab, LLC located?

Ag Screening Lab, LLC is located at 108A E Main St, Latta, SC 29565. The listed phone number is (843) 418-1197.

What is Ag Screening Lab, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Ag Screening Lab, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2257730) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ag Screening Lab, LLC was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.