CLIA lab
CLIA 42D2128968: Fresenius Kidney Care - Black Creek Dialysis
Hartsville, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2128968 belongs to Fresenius Kidney Care - Black Creek Dialysis in Hartsville, SC.
Certificate of Waiver, effective April 11, 2025, expires April 10, 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 11, 2025
- Certificate expiration
- April 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 11, 2017
- Facility type
- End stage renal disease dialysis facility
- 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
- 42D2128968
- Lab name
- Fresenius Kidney Care - Black Creek Dialysis
- Address
- 1001 South 4th Street, Hartsville, SC 29550
- Phone
- (843) 383-5577
- Fax
- (843) 537-6803
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- FMC Black Creek Dialysis CenterCMS Care Compare ratings for the facility at the same street address
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 Fresenius Kidney Care - Black Creek Dialysis in Hartsville?
42D2128968, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fresenius Kidney Care - Black Creek Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2128968 expire?
The CMS file lists April 10, 2027 as the certificate expiration date; the certificate took effect April 11, 2025.