42D1074052 CLIA NUMBER - RICE PLANTER PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 42D1074052
  • Facility Name: RICE PLANTER PEDIATRICS LLC
  • Facility Address: 406 ROBERTSON BLVD
    WALTERBORO, SC
    ZIP 29488
  • Facility Phone: 843 782-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHERYL A. GRANT
  • NPI Number: 1083809958
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1074052
LAB Type Physician Office
Facility Name RICE PLANTER PEDIATRICS LLC
Street 406 ROBERTSON BLVD
City WALTERBORO
State SC
ZIP 29488
Phone 843 782-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2023
Certificate Expiration Date 9/20/2025
Facility Type Physician Office
Lab Director CHERYL A. GRANT

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