42D1043278 CLIA NUMBER - CHAPIN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 42D1043278
  • Facility Name: CHAPIN PEDIATRICS
  • Facility Address: 723 CHAPIN ROAD
    CHAPIN, SC
    ZIP 29036
  • Facility Phone: 803 932-2200
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. KIMBERLY BOLEN
  • NPI Number: 1174664569
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D1043278
LAB Type Physician Office
Facility Name CHAPIN PEDIATRICS
Street 723 CHAPIN ROAD
City CHAPIN
State SC
ZIP 29036
Phone 803 932-2200
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director DR. KIMBERLY BOLEN

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This page was last updated on: 6/4/2025