1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Point Of Service
  6. NPI Profile

PREMIUM LABS LLC
NPI 1649977398
Point of Service in Columbia, SC

Active since February 13, 2023CLIA 42D2276553 · Waiver
6729 TWO NOTCH RD STE 130, COLUMBIA, SC 29223(803) 398-9500 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premium Labs Llc NPPES

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

PREMIUM LABS LLC (NPI 1649977398) is a healthcare organization registered as a point of service in Columbia, South Carolina and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Keyanne Holmes, Director Of Opertations, as its authorized official.

NPPES Registry Identity

NPI1649977398
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NamePREMIUM LABS LLC
Location Address6729 TWO NOTCH RD STE 130Columbia, SC 29223-7535
Mailing Address6729 Two Notch Rd Ste 130Columbia, SC 29223-7535 · (803) 398-9500
Phone(803) 398-9500
Organization SubpartNo
Authorized OfficialKeyanne HolmesDirector Of Opertations · (803) 398-9500
Enumeration DateFebruary 13, 2023
NPPES CertifiedFebruary 13, 2023
✔ NPI 1649977398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
6729 TWO NOTCH RD STE 130, Columbia, SC 29223
Open in Google Maps ↗

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 42D2276553

Premium Labs · Columbia, SC
Active · expires Feb 9, 2027
CLIA Number42D2276553
Laboratory TypeDiagnostic Testing
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorFelisha Hugee
Laboratory Phone(803) 398-9500
Laboratory LocationPremium Labs6729 Two Notch Road, Suite 130M, Columbia, SC 29223
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Premium Labs LLC's NPI number?

The NPI number for Premium Labs LLC is 1649977398. It was assigned to this organization in the NPPES registry on February 13, 2023.

Where is Premium Labs LLC located?

Premium Labs LLC is located at 6729 Two Notch Rd Ste 130, Columbia, SC 29223. The listed phone number is (803) 398-9500.

What is Premium Labs LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Does Premium Labs LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2276553) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premium Labs LLC was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.