CLIA lab

CLIA 42D0958562: Coastal Kidney Center PA

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

CLIA number 42D0958562 belongs to Coastal Kidney Center PA in Conway, SC.

Certificate for Provider-Performed Microscopy Procedures, effective March 22, 2025, expires March 21, 2027.

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 for Provider-Performed Microscopy Procedures
Certificate effective
March 22, 2025
Certificate expiration
March 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 22, 1999
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
42D0958562
Lab name
Coastal Kidney Center PA
Address
847 Farrar Drive, Conway, SC 29526
Phone
(843) 347-9487

Annual test volume the lab reported

Waived tests
100

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

Affiliated CLIA numbers

Other labs in Conway, SC

Related

Questions

What is the CLIA number for Coastal Kidney Center PA in Conway?

42D0958562, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Coastal Kidney Center PA hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 42D0958562 expire?

The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.

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