42D0981460 CLIA NUMBER - TRI-COUNTY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 42D0981460
  • Facility Name: TRI-COUNTY PEDIATRICS
  • Facility Address: 165 AMENDMENT AVE, SUITE 102
    ROCK HILL, SC
    ZIP 29732
  • Facility Phone: 803 329-2700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GAURANG C. SHAH MD
  • NPI Number: 1366403792
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Physician Office
Lab Director GAURANG C. SHAH MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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