CLIA lab
CLIA 42D2141062: Southern Med Pediatrics Fort Mill
Fort Mill, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2141062 belongs to Southern Med Pediatrics Fort Mill in Fort Mill, SC.
Certificate of Accreditation, effective August 12, 2025, expires August 11, 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 Accreditation
- Certificate effective
- August 12, 2025
- Certificate expiration
- August 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 6, 2017
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- COLA
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 42D2141062
- Lab name
- Southern Med Pediatrics Fort Mill
- Address
- 342 Patricia Ln, Suite 105, Fort Mill, SC 29708
- Phone
- (803) 928-5525
- Fax
- (803) 520-9262
Annual test volume the lab reported
- Waived tests
- 2,584
- Provider-performed microscopy tests
- 750
- Tests under accreditation
- 1,850
- Total
- 5,184
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fort Mill, SC
- Advanced Dermatology of South CarolinaCertificate for Provider-Performed Microscopy Procedures, Physician office42D1059597
- Advanced Dermatology of South CarolinaCertificate of Accreditation, Physician office42D2279528
- Any Lab Test Now- Fort Mill, SCCertificate of Waiver, Other42D2214860
- Atrium Health Infusion Center- Fort MillCertificate of Waiver, Physician office42D2345317
- Atrium Health Primary Care Shiland Family MedcineCertificate of Compliance, Physician office42D1093061
- Bloom PediatricsCertificate of Waiver, Other practitioner42D2331784
- Broken To Better Urgent CareCertificate of Waiver, Physician office42D2312687
- CPN Inc Atrium Health Levine Children's PediatricCertificate of Registration, Physician office42D2336312
- CPN Inc DBA Atrium Health Women's Care PiedmontCertificate for Provider-Performed Microscopy Procedures, Physician office42D2280336
- CPN Inc DBA Atrium Health Womens' Care SouthpineCertificate for Provider-Performed Microscopy Procedures, Physician office42D2288927
Related
Questions
What is the CLIA number for Southern Med Pediatrics Fort Mill in Fort Mill?
42D2141062, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Med Pediatrics Fort Mill hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 42D2141062 expire?
The CMS file lists August 11, 2027 as the certificate expiration date; the certificate took effect August 12, 2025.