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42D0250776 CLIA NUMBER - PLANTATION PEDIATRICS

Laboratory Demographics

CLIA Number: 42D0250776

Facility Name: PLANTATION PEDIATRICS

Facility Address:
1871 SAVAGE ROAD
CHARLESTON, SC
ZIP 29407
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Facility Phone Number: 843 766-6308

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1033169156

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 42D0250776
LAB Type Physician Office
Facility Name PLANTATION PEDIATRICS
Street 1871 SAVAGE ROAD
City CHARLESTON
State SC
ZIP 29407
Phone 843 766-6308
CertificateType 4
CertificateEffectiveDate 6/3/2022
CertificateExpirationDate 6/2/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024