CLIA lab
CLIA 42D1097892: Sweetgrass Pediatrics
Summerville, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1097892 belongs to Sweetgrass Pediatrics in Summerville, SC.
Certificate of Waiver, effective April 7, 2025, expires April 6, 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
- April 7, 2025
- Certificate expiration
- April 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 7, 2009
- 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
- 42D1097892
- Lab name
- Sweetgrass Pediatrics
- Address
- 748 Old Orangeburg Rd, Summerville, SC 29483
- Phone
- (843) 832-8606
- Fax
- (843) 285-7272
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Summerville, SC
- Advanced Wound Clinic at Summerville Medical CTRCertificate of Waiver, Ancillary test site42D2022662
- Ag-Vsl Wildcat Operator, LLC DBACertificate of Waiver, Assisted living facility42D2277019
- Allergy & Asthma ConsultantsCertificate of Waiver, Physician office42D1032692
- American Health Imaging of SummervilleCertificate of Waiver, Independent42D2249578
- Ark of Hope IICertificate of Waiver, Mobile lab42D2346117
- Articularis Healthcare Group, IncCertificate of Compliance, Physician office42D0706461
- Articularis Healthcare Group, IncCertificate of Waiver, Physician office42D2085410
- Berkeley Hospital (BH) Diagnostics & ER- SawmillCertificate of Registration, Ancillary test site42D2339298
- Brightcare Health and WellnessCertificate of Waiver, Other practitioner42D2326096
- Brighton Park EmergencyCertificate of Accreditation, Other42D2183877
Related
Questions
What is the CLIA number for Sweetgrass Pediatrics in Summerville?
42D1097892, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sweetgrass Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1097892 expire?
The CMS file lists April 6, 2027 as the certificate expiration date; the certificate took effect April 7, 2025.