42D2311359 CLIA NUMBER - HOMETOWN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 42D2311359
  • Facility Name: HOMETOWN PEDIATRICS
  • Facility Address: 100 NORTH RAILROAD AVENUE
    LAMAR, SC
    ZIP 29069
  • Facility Phone: 843 919-0245
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHERYL B. GAMBRELL
  • NPI Number: 1518724285
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D2311359
LAB Type Physician Office
Facility Name HOMETOWN PEDIATRICS
Street 100 NORTH RAILROAD AVENUE
City LAMAR
State SC
ZIP 29069
Phone 843 919-0245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director CHERYL B. GAMBRELL

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