CLIA lab

CLIA 42D0957415: Sandhills Pediatrics at Dutch Fork

Irmo, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 42D0957415 belongs to Sandhills Pediatrics at Dutch Fork in Irmo, SC.

Certificate of Compliance, effective January 11, 2026, expires January 10, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Compliance
Certificate effective
January 11, 2026
Certificate expiration
January 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 19, 1999
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
42D0957415
Lab name
Sandhills Pediatrics at Dutch Fork
Address
7941 Broad River Road, Irmo, SC 29063
Phone
(803) 407-0704
Fax
(803) 407-2529

Annual test volume the lab reported

Waived tests
3,816
Other nonwaived tests
4,995
Total
8,811

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Irmo, SC

Related

Questions

What is the CLIA number for Sandhills Pediatrics at Dutch Fork in Irmo?

42D0957415, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sandhills Pediatrics at Dutch Fork hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 42D0957415 expire?

The CMS file lists January 10, 2028 as the certificate expiration date; the certificate took effect January 11, 2026.

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