CLIA lab

CLIA 42D2053636: Ernest E Kennedy Center

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

CLIA number 42D2053636 belongs to Ernest E Kennedy Center in Moncks Corner, SC.

Certificate of Waiver, effective February 5, 2025, expires February 4, 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 5, 2025
Certificate expiration
February 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 5, 2013
Facility type
Other
Ownership (control type)
Private
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
42D2053636
Lab name
Ernest E Kennedy Center
Address
306 Airport Drive, Moncks Corner, SC 29461
Phone
(843) 761-8272
Fax
(843) 719-3025

Annual test volume the lab reported

Waived tests
900

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 Ernest E Kennedy Center in Moncks Corner?

42D2053636, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ernest E Kennedy Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2053636 expire?

The CMS file lists February 4, 2027 as the certificate expiration date; the certificate took effect February 5, 2025.

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