42D1056700 CLIA NUMBER - INLET PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 42D1056700
  • Facility Name: INLET PEDIATRICS PA
  • Facility Address: 140 BANDAGE COURT
    MURRELLS INLET, SC
    ZIP 29576
  • Facility Phone: 843 652-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMANDA G. DROSIEKO
  • NPI Number: 1023122728
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D1056700
LAB Type Physician Office
Facility Name INLET PEDIATRICS PA
Street 140 BANDAGE COURT
City MURRELLS INLET
State SC
ZIP 29576
Phone 843 652-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director AMANDA G. DROSIEKO

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