42D2320989 CLIA NUMBER - ALESYA PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 42D2320989
  • Facility Name: ALESYA PEDIATRICS, LLC
  • Facility Address: 110 E BUTLER RD, SUITE D
    MAULDIN, SC
    ZIP 29662
  • Facility Phone: 864 203-2412
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELENA GLINYANY
  • NPI Number: 1205648508
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D2320989
LAB Type Physician Office
Facility Name ALESYA PEDIATRICS, LLC
Street 110 E BUTLER RD, SUITE D
City MAULDIN
State SC
ZIP 29662
Phone 864 203-2412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director ELENA GLINYANY

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