CLIA lab
CLIA 42D2163609: Retreat at Carolina Bay
Hartsville, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2163609 belongs to Retreat at Carolina Bay in Hartsville, SC.
Certificate of Waiver, effective March 19, 2025, expires March 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
- March 19, 2025
- Certificate expiration
- March 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 19, 2019
- Facility type
- Assisted living 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
- 42D2163609
- Lab name
- Retreat at Carolina Bay
- Address
- 1340 Carolina Bay Blvd, Hartsville, SC 29550
- Phone
- (843) 639-4101
Annual test volume the lab reported
- Waived tests
- 5,000
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 Retreat at Carolina Bay in Hartsville?
42D2163609, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Retreat at Carolina Bay hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2163609 expire?
The CMS file lists March 18, 2027 as the certificate expiration date; the certificate took effect March 19, 2025.