42D0251494 CLIA NUMBER - EASTERN CAROLINA PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 42D0251494
  • Facility Name: EASTERN CAROLINA PEDIATRIC ASSOCIATES
  • Facility Address: 1530 MCCLURE CT
    FLORENCE, SC
    ZIP 29505
  • Facility Phone: 843 667-6710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN A. KEITH III
  • NPI Number: 1992749220
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D0251494
LAB Type Physician Office
Facility Name EASTERN CAROLINA PEDIATRIC ASSOCIATES
Street 1530 MCCLURE CT
City FLORENCE
State SC
ZIP 29505
Phone 843 667-6710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. JOHN A. KEITH III

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