42D0909062 CLIA NUMBER - CENTER FOR PEDIATRICS

Laboratory Demographics

CLIA Number: 42D0909062

Facility Name: CENTER FOR PEDIATRICS

Facility Address:
853 NORTH CHURCH STREET, SUITE 401 ATTN MARY GOOCH
SPARTANBURG, SC
ZIP 29303
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Facility Phone Number: 864 560-7017

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Accreditation

NPI Number: 1477536019

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	42D0909062
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	CENTER FOR PEDIATRICS
Street	853 NORTH CHURCH STREET, SUITE 401 ATTN MARY GOOCH
City	SPARTANBURG
State	SC
ZIP	29303
Phone	864 560-7017
CertificateType	1
CertificateEffectiveDate	11/18/2023
CertificateExpirationDate	11/17/2025
FacilityType	Accreditation

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