42D2309295 CLIA NUMBER - PIEDMONT PEDIATRICS OF WOODRUFF

Laboratory Demographics

  • CLIA Code: 42D2309295
  • Facility Name: PIEDMONT PEDIATRICS OF WOODRUFF
  • Facility Address: 414 CROSS ANCHOR
    WOODRUFF, SC
    ZIP 29388
  • Facility Phone: 864 833-5654
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SALLY E. BURGESS
  • NPI Number: 1871324814
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2309295
LAB Type Physician Office
Facility Name PIEDMONT PEDIATRICS OF WOODRUFF
Street 414 CROSS ANCHOR
City WOODRUFF
State SC
ZIP 29388
Phone 864 833-5654
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Physician Office
Lab Director SALLY E. BURGESS

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