42D2250675 CLIA NUMBER - ELM PEDIATRICS

Laboratory Demographics

  • CLIA Code: 42D2250675
  • Facility Name: ELM PEDIATRICS
  • Facility Address: 800 WEST MAIN STREET
    LAKE CITY, SC
    ZIP 29560
  • Facility Phone: 843 977-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIN M. LEWIS
  • NPI Number: 1255009163
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2250675
LAB Type Physician Office
Facility Name ELM PEDIATRICS
Street 800 WEST MAIN STREET
City LAKE CITY
State SC
ZIP 29560
Phone 843 977-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director ERIN M. LEWIS

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