42D2013917 CLIA NUMBER - MCLEOD PEDIATRICS AND PRIMARY CARE BENNETTSVILLE

Laboratory Demographics

  • CLIA Code: 42D2013917
  • Facility Name: MCLEOD PEDIATRICS AND PRIMARY CARE BENNETTSVILLE
  • Facility Address: 1076 MARLBORO WAY SUITE 3
    BENNETTSVILLE, SC
    ZIP 29512
  • Facility Phone: 843 479-0432
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEREDITH ALKINSON
  • NPI Number: 1538707146
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2013917
LAB Type Physician Office
Facility Name MCLEOD PEDIATRICS AND PRIMARY CARE BENNETTSVILLE
Street 1076 MARLBORO WAY SUITE 3
City BENNETTSVILLE
State SC
ZIP 29512
Phone 843 479-0432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Physician Office
Lab Director MEREDITH ALKINSON

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