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

NPI Status: Active since May 10, 2022

Contact Information

108A E MAIN ST
LATTA, SC
ZIP 29565
Phone: (843) 418-1197
Fax: (843) 418-1097

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 42D2257730
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 04-10-2026

About AG SCREENING LAB, LLC

This page provides the complete NPI Profile along with additional information for Ag Screening Lab, Llc, a provider established in Latta, South Carolina operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1528704830 assigned on May 2022. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ms. Lometria Wilson (Owner)

NPI
1528704830
Provider Name
AG SCREENING LAB, LLC
Entity Type
Organization
Location Address
108A E MAIN ST LATTA, SC 29565
Location Phone
(843) 418-1197
Location Fax
(843) 418-1097
Mailing Address
108A E MAIN ST LATTA, SC 29565
Mailing Phone
(843) 418-1197
Mailing Fax
(843) 418-1097
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2022
Last Update Date
05-10-2022
Code Navigator

Establishments like Ag Screening Lab, Llc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. LOMETRIA WILSON

Authorized Official Title
OWNER
Authorized Official Phone
(843) 616-8770

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
42D2257730MEDICAID (05)SC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2257730
Facility Type
Independent
Certificate Effective Date
April 11, 2024
Certificate Expiration Date
April 10, 2026
Laboratory Director
MS. LOMETRIA WILSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ag Screening Lab, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for AG SCREENING LAB, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528704830
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548140886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 4 + 0 + 8 + 8 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1528704830 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154621829MARION PHYSICIAN SERVICES LLC
Organization
Clinic/Center (Rural Health)108A E MAIN ST
LATTA, SC 29565
(843) 752-1234
1497408090 LOMETRIA WILSON
Individual
Nurse's Aide108A E MAIN ST
LATTA, SC 29565
(843) 616-8770
1487448072AMAZING GRACE HOME CARE SERVICES
Organization
Durable Medical Equipment & Medical Supplies108A E MAIN ST
LATTA, SC 29565
(843) 418-1197
1114814449AMAZING GRACE HOME CARE SERVICES
Organization
Durable Medical Equipment & Medical Supplies108A E MAIN ST
LATTA, SC 29565
(843) 616-8770

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528704830, enumerated in the NPI registry as an "organization" on May 10, 2022

The provider is located at 108a E Main St Latta, Sc 29565 and the phone number is (843) 418-1197

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 42D2257730 for a "independent" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 10, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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