CLIA lab

CLIA 42D0253120: Bon Secours Primary Care-Mauldin

Mauldin, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 42D0253120 belongs to Bon Secours Primary Care-Mauldin in Mauldin, SC.

Certificate of Waiver, effective October 1, 2025, expires September 30, 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 1, 2025
Certificate expiration
September 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 23, 1994
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
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
42D0253120
Lab name
Bon Secours Primary Care-Mauldin
Address
309 West Butler Road, Mauldin, SC 29662
Phone
(864) 297-1575
Fax
(864) 751-0055

Annual test volume the lab reported

Waived tests
1,583

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Mauldin, SC

Related

Questions

What is the CLIA number for Bon Secours Primary Care-Mauldin in Mauldin?

42D0253120, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bon Secours Primary Care-Mauldin hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D0253120 expire?

The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.

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