CLIA lab
CLIA 42D2019730: Sweetgrass Pediatrics
Moncks Corner, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2019730 belongs to Sweetgrass Pediatrics in Moncks Corner, SC.
Certificate of Waiver, effective February 4, 2025, expires February 3, 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
- February 4, 2025
- Certificate expiration
- February 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 4, 2011
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 42D2019730
- Lab name
- Sweetgrass Pediatrics
- Address
- 401 N Live Oak Dr, Ste A, Moncks Corner, SC 29461
- Phone
- (843) 764-1722
- Fax
- (843) 761-0982
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Moncks Corner, SC
- Berkeley Citizens IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities42D1013960
- Berkeley County EMSCertificate of Waiver, Ambulance42D2115040
- Berkeley County School DistrictCertificate of Waiver, School or student health service42D2228855
- Berkeley Electric CoopCertificate of Waiver, Other42D2294024
- Berkeley Family Practice, LLCCertificate for Provider-Performed Microscopy Procedures, Physician office42D0251134
- Berkeley Home ClinicCertificate of Waiver, Physician office42D2348603
- Changed Lives MinistryCertificate of Waiver, Other42D2335668
- Charleston DermatologyCertificate of Compliance, Physician office42D2240472
- Charleston Women's Wellness CTRCertificate of Waiver, Physician office42D2030219
- Clinical Trials of South Carolina - BerkeleyCertificate of Waiver, Physician office42D2174304
Related
Questions
What is the CLIA number for Sweetgrass Pediatrics in Moncks Corner?
42D2019730, 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 42D2019730 expire?
The CMS file lists February 3, 2027 as the certificate expiration date; the certificate took effect February 4, 2025.