42D2107266 CLIA NUMBER - SOUTHERNMED PEDIATRICS-BATESBURG

Laboratory Demographics

  • CLIA Code: 42D2107266
  • Facility Name: SOUTHERNMED PEDIATRICS-BATESBURG
  • Facility Address: 141 E CHURCH STREET, SUITE C
    LEESVILLE, SC
    ZIP 29070
  • Facility Phone: 803 520-9261
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JAMES PRUITT
  • NPI Number: 1487447181
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 42D2107266
LAB Type Physician Office
Facility Name SOUTHERNMED PEDIATRICS-BATESBURG
Street 141 E CHURCH STREET, SUITE C
City LEESVILLE
State SC
ZIP 29070
Phone 803 520-9261
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Physician Office
Lab Director DR. JAMES PRUITT

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