CLIA lab
CLIA 42D1074842: Carolina Pediatrics PA
Irmo, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1074842 belongs to Carolina Pediatrics PA in Irmo, SC.
Certificate of Waiver, effective October 9, 2025, expires October 8, 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
- October 9, 2025
- Certificate expiration
- October 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 9, 2007
- 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
- 42D1074842
- Lab name
- Carolina Pediatrics PA
- Address
- 1033 Kinley Rd, Irmo, SC 29063
- Phone
- (803) 376-2838
Annual test volume the lab reported
- Waived tests
- 2,000
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
- Alf Project HB, LLC DBA Harbison ShoresCertificate of Waiver, Assisted living facility42D2195948
- American Health Imaging of IrmoCertificate of Waiver, Other42D2242539
- Ballentine Pediatrics,llcCertificate of Waiver, Physician office42D1088197
- Carolina Cardiology & Vascular Associates, LLCCertificate of Waiver, Physician office42D2166445
- Elite GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office42D2177576
- Encompass Health Rehabilitation Hospital of IrmoCertificate of Waiver, Hospital42D2333554
- Fresenius Medical Care Cna Kidney Centers, LLCCertificate of Waiver, End stage renal disease dialysis facility42D0986107
- Generations of Irmo, LLCCertificate of Waiver, Assisted living facility42D2066738
- Kroger Pharmacy #002Certificate of Waiver, Pharmacy42D2009090
- Lexington Family Practice BallentineCertificate of Accreditation, Physician office42D1041254
Related
Questions
What is the CLIA number for Carolina Pediatrics PA in Irmo?
42D1074842, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Carolina Pediatrics PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1074842 expire?
The CMS file lists October 8, 2027 as the certificate expiration date; the certificate took effect October 9, 2025.