42D1046784 CLIA NUMBER - PELICAN PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 42D1046784
  • Facility Name: PELICAN PEDIATRICS LLC
  • Facility Address: 452 FOLLY ROAD, UNIT A
    CHARLESTON, SC
    ZIP 29412
  • Facility Phone: 843 795-3344
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZA A. VARADI
  • NPI Number: 1306259544
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D1046784
LAB Type Physician Office
Facility Name PELICAN PEDIATRICS LLC
Street 452 FOLLY ROAD, UNIT A
City CHARLESTON
State SC
ZIP 29412
Phone 843 795-3344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director ELIZA A. VARADI

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