42D0249448 CLIA NUMBER - PALMETTO PEDIATRIC & ADOLESCENT CLINIC

Laboratory Demographics

  • CLIA Code: 42D0249448
  • Facility Name: PALMETTO PEDIATRIC & ADOLESCENT CLINIC
  • Facility Address: 140 PARK CENTRAL DRIVE
    COLUMBIA, SC
    ZIP 29203
  • Facility Phone: 803 779-4001
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DEBORAH GREENHOUSE
  • NPI Number: 1285655993
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 42D0249448
LAB Type Physician Office
Facility Name PALMETTO PEDIATRIC & ADOLESCENT CLINIC
Street 140 PARK CENTRAL DRIVE
City COLUMBIA
State SC
ZIP 29203
Phone 803 779-4001
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director DEBORAH GREENHOUSE

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This page was last updated on: 9/29/2025