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42D0981460 CLIA NUMBER - TRI-COUNTY PEDIATRICS

Laboratory Demographics

CLIA Number: 42D0981460

Facility Name: TRI-COUNTY PEDIATRICS

Facility Address:
165 AMENDMENT AVE, SUITE 102
ROCK HILL, SC
ZIP 29732
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Facility Phone Number: 803 329-2700

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1366403792

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 42D0981460
LAB Type Physician Office
Facility Name TRI-COUNTY PEDIATRICS
Street 165 AMENDMENT AVE, SUITE 102
City ROCK HILL
State SC
ZIP 29732
Phone 803 329-2700
CertificateType 4
CertificateEffectiveDate 12/28/2022
CertificateExpirationDate 12/27/2024
FacilityType Waiver

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