42D1003513 CLIA NUMBER - SEASHORE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 42D1003513
  • Facility Name: SEASHORE PEDIATRICS
  • Facility Address: 170 SURFRIDER BLVD, UNIT A
    LONGS, SC
    ZIP 29568
  • Facility Phone: 843 716-2229
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DONALD N. LUDLOW
  • NPI Number: 1265458251
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D1003513
LAB Type Physician Office
Facility Name SEASHORE PEDIATRICS
Street 170 SURFRIDER BLVD, UNIT A
City LONGS
State SC
ZIP 29568
Phone 843 716-2229
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director DR. DONALD N. LUDLOW

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