42D0662862 CLIA NUMBER - EASTERN CAROLINA PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 42D0662862
  • Facility Name: EASTERN CAROLINA PEDIATRIC ASSOCIATES
  • Facility Address: 105 INDUSTRIAL WAY
    DARLINGTON, SC
    ZIP 29532
  • Facility Phone: 843 395-0015
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN A. KEITH III
  • NPI Number: 1073678868
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D0662862
LAB Type Physician Office
Facility Name EASTERN CAROLINA PEDIATRIC ASSOCIATES
Street 105 INDUSTRIAL WAY
City DARLINGTON
State SC
ZIP 29532
Phone 843 395-0015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director DR. JOHN A. KEITH III

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