CLIA lab
CLIA 42D2095166: Hartsville Medical Group LLC,
Hartsville, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2095166 belongs to Hartsville Medical Group LLC, in Hartsville, SC.
Certificate of Waiver, effective May 1, 2025, expires April 30, 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
- May 1, 2025
- Certificate expiration
- April 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 1, 2015
- 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
- 42D2095166
- Lab name
- Hartsville Medical Group LLC,
- Additional name
- DBA Carolina Pines Medical Group
- Address
- 701 Medical Park Drive Suite 103, Hartsville, SC 29550
- Phone
- (843) 339-2665
Annual test volume the lab reported
- Waived tests
- 1,606
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hartsville, SC
- Black Creek Medical ConsultantsCertificate of Waiver, Physician office42D2347430
- Caresouth Carolina Inc Hartsville PediatricsCertificate of Waiver, Federally qualified health center42D2003519
- Caresouth Carolina Inc Hartsville- Suite BCertificate of Waiver, Federally qualified health center42D2338052
- Caresouth Carolina Inc- Hartsville CenterCertificate of Waiver, Federally qualified health center42D0875468
- Caring Hearts Pediatrics, LLCCertificate of Waiver, Physician office42D2042284
- Carolina Family Practice PACertificate of Registration, Physician office42D2349022
- Carolina Pines Regional Medical CenterCertificate of Accreditation, Hospital42D0678223
- Carolina Pines Regional Medical CenterCertificate of Accreditation, Ancillary test site42D0679967
- Carolina Pines Regional Medical CenterCertificate of Waiver, Hospital42D0978480
- Center for Health and Wellness, PCCertificate of Waiver, Physician office42D2327455
Related
Questions
What is the CLIA number for Hartsville Medical Group LLC, in Hartsville?
42D2095166, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hartsville Medical Group LLC, hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2095166 expire?
The CMS file lists April 30, 2027 as the certificate expiration date; the certificate took effect May 1, 2025.