CLIA lab
CLIA 42D2138544: Riverside Pediatrics
Kingstree, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2138544 belongs to Riverside Pediatrics in Kingstree, SC.
Certificate of Waiver, effective October 19, 2025, expires October 18, 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
- October 19, 2025
- Certificate expiration
- October 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 19, 2017
- 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
- 42D2138544
- Lab name
- Riverside Pediatrics
- Address
- 402 Nelson Blvd, Suite 100, Kingstree, SC 29556
- Phone
- (843) 833-8595
- Fax
- (843) 833-8599
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- FMC Kingstree Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility42D0703516
- Family Medicine Associates, LLCCertificate for Provider-Performed Microscopy Procedures, Physician office42D2038395
- Georgetown Hospital Home Health, LLCCertificate of Waiver, Home health agency42D0884758
- Mcleod Family Medicine KingstreeCertificate of Waiver, Physician office42D0019897
- Mcleod Occupational Health, LLC - FTCCertificate of Waiver, Other42D2320253
- Medical University Hospital Authority DBACertificate of Waiver, Rural health clinic42D2020040
- Musc Community Physicians DBACertificate of Waiver, Physician office42D1106486
- Musc Health Rena N. Grant Sickle Cell CenterCertificate of Waiver, Physician office42D2335322
Related
Questions
What is the CLIA number for Riverside Pediatrics in Kingstree?
42D2138544, 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 42D2138544 expire?
The CMS file lists October 18, 2027 as the certificate expiration date; the certificate took effect October 19, 2025.