42D2138643 CLIA NUMBER - PEDIATRIC ASSOCIATES OF FLORENCE

Laboratory Demographics

  • CLIA Code: 42D2138643
  • Facility Name: PEDIATRIC ASSOCIATES OF FLORENCE
  • Facility Address: 3013-B WEST PALMETTO STREET
    FLORENCE, SC
    ZIP 29501
  • Facility Phone: 843 777-5065
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMIN B. ELDER
  • NPI Number: 1619949435
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D2138643
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES OF FLORENCE
Street 3013-B WEST PALMETTO STREET
City FLORENCE
State SC
ZIP 29501
Phone 843 777-5065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director BENJAMIN B. ELDER

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