42D1070622 CLIA NUMBER - MANTE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 42D1070622
  • Facility Name: MANTE PEDIATRICS LLC
  • Facility Address: 901 W MEETING ST, SUITE 203
    LANCASTER, SC
    ZIP 29720
  • Facility Phone: 803 313-3846
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EBENEZER Y. MANTE
  • NPI Number: 1508063371
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D1070622
LAB Type Physician Office
Facility Name MANTE PEDIATRICS LLC
Street 901 W MEETING ST, SUITE 203
City LANCASTER
State SC
ZIP 29720
Phone 803 313-3846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Physician Office
Lab Director EBENEZER Y. MANTE

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