CLIA lab
CLIA 42D1088197: Ballentine Pediatrics,llc
Irmo, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1088197 belongs to Ballentine Pediatrics,llc in Irmo, SC.
Certificate of Waiver, effective August 19, 2026, expires August 18, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 19, 2026
- Certificate expiration
- August 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 19, 2008
- 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
- 42D1088197
- Lab name
- Ballentine Pediatrics,llc
- Address
- 11134 Broad River Rd #d, Irmo, SC 29063
- Phone
- (803) 732-0920
- Fax
- (803) 227-2759
Annual test volume the lab reported
- Waived tests
- 8,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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
- Carolina Cardiology & Vascular Associates, LLCCertificate of Waiver, Physician office42D2166445
- Carolina Pediatrics PACertificate of Waiver, Physician office42D1074842
- 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 Ballentine Pediatrics,llc in Irmo?
42D1088197, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ballentine Pediatrics,llc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1088197 expire?
The CMS file lists August 18, 2028 as the certificate expiration date; the certificate took effect August 19, 2026.