Ag Screening Lab, LLC

Ag Screening Lab, LLC is a healthcare organization registered as Clinical Medical Laboratory in Latta, SC, holding Type 2 (organization) NPI 1528704830 since 2022. The authorized official on file is Lometria Wilson, Owner.

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NPI	1528704830
Entity type	Organization (Type 2)
Legal business name	Ag Screening Lab, LLC
Practice address	108A E MAIN ST, Latta, SC, 29565
Phone	8434181197
Fax	8434181097
Enumeration date	2022-05-10
Last updated in NPPES	2022-05-10

Authorized official

Name	Lometria Wilson
Title	Owner
Phone	8436168770

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
291U00000X	Clinical Medical Laboratory	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
42D2257730	Medicaid	SC	—

Copy-ready billing details

Provider: Ag Screening Lab, LLC
NPI: 1528704830
Taxonomy: 291U00000X (Clinical Medical Laboratory)
Address: 108A E MAIN ST, Latta, SC, 29565

Providers at this address

NPI	Name	Type	Specialty	Location
1154621829	Marion Physician Services LLC	Organization	Rural Health Clinic/Center	Latta, SC
1497408090	Lometria Wilson	Individual	Nurse's Aide	Latta, SC
1487448072	Amazing Grace Home Care Services	Organization	Durable Medical Equipment & Medical Supplies	Latta, SC
1114814449	Amazing Grace Home Care Services	Organization	Durable Medical Equipment & Medical Supplies	Latta, SC

Verify this record

Cross-check NPI 1528704830 against the authoritative CMS record: view Ag Screening Lab, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Ag Screening Lab, LLC located?

The practice location on file with NPPES is in Latta, SC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-05-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-05-10.