CLIA lab
CLIA 42D2285935: Caromont Pediatric Partners-Lake Wylie
Clover, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2285935 belongs to Caromont Pediatric Partners-Lake Wylie in Clover, SC.
Certificate of Waiver, effective July 20, 2025, expires July 19, 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
- July 20, 2025
- Certificate expiration
- July 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 20, 2023
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 42D2285935
- Lab name
- Caromont Pediatric Partners-Lake Wylie
- Address
- 519 Nautical Drive, Suite 100B, Clover, SC 29710
- Phone
- (803) 831-2796
- Fax
- (803) 831-8614
Annual test volume the lab reported
- Waived tests
- 12,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Clover, SC
- Caromont Family Medicine Lake WylieCertificate of Waiver, Other practitioner42D0947946
- Caromont Women's HealthCertificate for Provider-Performed Microscopy Procedures, Physician office42D2275777
- Foothills Lab LLCCertificate of Waiver, Independent42D2337255
- Honeywell North SafetyCertificate of Waiver, Industrial42D2169042
- Medcare PharmacyCertificate of Waiver, Pharmacy42D2290638
- Minuteclinic Diagnostic of South Carolina LLCCertificate of Waiver, Other42D2082266
- Minuteclinic Primary Care-South Carolina, LLCCertificate of Waiver, Other42D2323527
- Piedmont Physician NetworkCertificate of Waiver, Physician office42D0893934
- Poole EyecareCertificate of Waiver, Physician office42D2332123
Related
Questions
What is the CLIA number for Caromont Pediatric Partners-Lake Wylie in Clover?
42D2285935, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Caromont Pediatric Partners-Lake Wylie hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2285935 expire?
The CMS file lists July 19, 2027 as the certificate expiration date; the certificate took effect July 20, 2025.