42D1057001 CLIA NUMBER - MCLEOD PEDIATRICS CHERAW

Laboratory Demographics

  • CLIA Code: 42D1057001
  • Facility Name: MCLEOD PEDIATRICS CHERAW
  • Facility Address: 723 SOUTH DOCTOR'S DRIVE
    CHERAW, SC
    ZIP 29520
  • Facility Phone: 843 537-9360
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUDE THOMAS
  • NPI Number: 1427437870
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D1057001
LAB Type Physician Office
Facility Name MCLEOD PEDIATRICS CHERAW
Street 723 SOUTH DOCTOR'S DRIVE
City CHERAW
State SC
ZIP 29520
Phone 843 537-9360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director JUDE THOMAS

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