42D0251343 CLIA NUMBER - SOUTHERNMED PEDIATRICS-SUMMERVILLE

Laboratory Demographics

  • CLIA Code: 42D0251343
  • Facility Name: SOUTHERNMED PEDIATRICS-SUMMERVILLE
  • Facility Address: 312 MIDLAND PARKWAY
    SUMMERVILLE, SC
    ZIP 29485
  • Facility Phone: 803 520-9380
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. RICHARD K. GUYTON
  • NPI Number: 1316340839
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 42D0251343
LAB Type Physician Office
Facility Name SOUTHERNMED PEDIATRICS-SUMMERVILLE
Street 312 MIDLAND PARKWAY
City SUMMERVILLE
State SC
ZIP 29485
Phone 803 520-9380
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Physician Office
Lab Director DR. RICHARD K. GUYTON

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