CLIA lab
CLIA 42D0874904: Pruitthealth - Moncks Corner, LLC
Moncks Corner, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D0874904 belongs to Pruitthealth - Moncks Corner, LLC in Moncks Corner, SC.
Certificate of Waiver, effective August 13, 2025, expires August 12, 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
- August 13, 2025
- Certificate expiration
- August 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 13, 1993
- Facility type
- Skilled nursing or nursing 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
- 42D0874904
- Lab name
- Pruitthealth - Moncks Corner, LLC
- Address
- 505 South Live Oaks Drive, Moncks Corner, SC 29461
- Phone
- (843) 761-8368
- Fax
- (843) 761-5874
Annual test volume the lab reported
- Waived tests
- 2,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Berkeley County EMSCertificate of Waiver, Ambulance42D2115040
- Berkeley County School DistrictCertificate of Waiver, School or student health service42D2228855
- Berkeley Electric CoopCertificate of Waiver, Other42D2294024
- Berkeley Family Practice, LLCCertificate for Provider-Performed Microscopy Procedures, Physician office42D0251134
- Berkeley Home ClinicCertificate of Waiver, Physician office42D2348603
- Changed Lives MinistryCertificate of Waiver, Other42D2335668
- Charleston DermatologyCertificate of Compliance, Physician office42D2240472
- Charleston Women's Wellness CTRCertificate of Waiver, Physician office42D2030219
- Clinical Trials of South Carolina - BerkeleyCertificate of Waiver, Physician office42D2174304
Related
Questions
What is the CLIA number for Pruitthealth - Moncks Corner, LLC in Moncks Corner?
42D0874904, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pruitthealth - Moncks Corner, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D0874904 expire?
The CMS file lists August 12, 2027 as the certificate expiration date; the certificate took effect August 13, 2025.