42D1043213 CLIA NUMBER - PALMETTO PEDIATRICS CTR OF AIKEN REG MED CTR

Laboratory Demographics

  • CLIA Code: 42D1043213
  • Facility Name: PALMETTO PEDIATRICS CTR OF AIKEN REG MED CTR
  • Facility Address: 60 PHYSICIAN DR
    AIKEN, SC
    ZIP 29801
  • Facility Phone: 803 641-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT L. WILLIAMS
  • NPI Number: 1548725781
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1043213
LAB Type Physician Office
Facility Name PALMETTO PEDIATRICS CTR OF AIKEN REG MED CTR
Street 60 PHYSICIAN DR
City AIKEN
State SC
ZIP 29801
Phone 803 641-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director ROBERT L. WILLIAMS

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