42D0893672 CLIA NUMBER - AGNES SCHULTZ MD CHERAW PEDIATRICS

Laboratory Demographics

  • CLIA Code: 42D0893672
  • Facility Name: AGNES SCHULTZ MD CHERAW PEDIATRICS
  • Facility Address: 119 CHESTERFIELD HIGHWAY
    CHERAW, SC
    ZIP 29520
  • Facility Phone: 843 537-1811
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AGNES S. SCHULTZ MD
  • NPI Number: 1447340211
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D0893672
LAB Type Physician Office
Facility Name AGNES SCHULTZ MD CHERAW PEDIATRICS
Street 119 CHESTERFIELD HIGHWAY
City CHERAW
State SC
ZIP 29520
Phone 843 537-1811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Physician Office
Lab Director AGNES S. SCHULTZ MD

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