CLIA lab

CLIA 42D1044510: James R Carroll MD PA Family Practice

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

CLIA number 42D1044510 belongs to James R Carroll MD PA Family Practice in Mullins, SC.

Certificate of Waiver, effective August 22, 2025, expires August 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 of Waiver
Certificate effective
August 22, 2025
Certificate expiration
August 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 22, 2005
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

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

Lab and contact

CLIA number
42D1044510
Lab name
James R Carroll MD PA Family Practice
Address
2845 East Hwy 76, Suite 2, Mullins, SC 29574
Phone
(843) 431-2730
Fax
(843) 431-2735

Annual test volume the lab reported

Waived tests
1,155

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

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Related

Questions

What is the CLIA number for James R Carroll MD PA Family Practice in Mullins?

42D1044510, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does James R Carroll MD PA Family Practice hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D1044510 expire?

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

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