CLIA lab
CLIA 42D2111073: Riverside Pediatrics
Georgetown, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2111073 belongs to Riverside Pediatrics in Georgetown, SC.
Certificate of Waiver, effective March 30, 2026, expires March 29, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 30, 2026
- Certificate expiration
- March 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 30, 2016
- 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
- 42D2111073
- Lab name
- Riverside Pediatrics
- Address
- 435 Marina Drive, Georgetown, SC 29440
- Phone
- (843) 967-8139
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.
Other labs in Georgetown, SC
- Bay Microsurgical UnitCertificate of Waiver, Ambulatory surgery center42D0856106
- Edmund Rhett JR MD PACertificate of Waiver, Physician office42D2037720
- Fresenius Medical Care GeorgetownCertificate of Waiver, End stage renal disease dialysis facility42D0251057
- Fresenius Medical Care WinyahCertificate of Waiver, End stage renal disease dialysis facility42D1101434
- Georgetown City Fire DepartmentCertificate of Waiver, Other42D2120687
- Georgetown Co Alcohol & Drug Abuse CommissionCertificate of Waiver, Other42D1014134
- Georgetown Co Board of DisabilitiesCertificate of Waiver, Other42D1085991
- Georgetown County Detention CenterCertificate of Waiver, Prison42D2052206
- Georgetown County Fire/EmsCertificate of Waiver, Ambulance42D2041012
- Georgetown County School DistrictCertificate of Waiver, School or student health service42D2206086
Related
Questions
What is the CLIA number for Riverside Pediatrics in Georgetown?
42D2111073, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Riverside Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2111073 expire?
The CMS file lists March 29, 2028 as the certificate expiration date; the certificate took effect March 30, 2026.