42D0981997 CLIA NUMBER - SEASIDE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 42D0981997
  • Facility Name: SEASIDE PEDIATRICS
  • Facility Address: 309 WINGO WAY, SUITE 101
    MOUNT PLEASANT, SC
    ZIP 29464
  • Facility Phone: 843 881-2484
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERELY S. ZIMLICH MD
  • NPI Number: 1326105255
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D0981997
LAB Type Physician Office
Facility Name SEASIDE PEDIATRICS
Street 309 WINGO WAY, SUITE 101
City MOUNT PLEASANT
State SC
ZIP 29464
Phone 843 881-2484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director KIMBERELY S. ZIMLICH MD

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