CLIA lab
CLIA 42D0888716: Lake City Family Medicine LLC
Lake City, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D0888716 belongs to Lake City Family Medicine LLC in Lake City, SC.
Certificate for Provider-Performed Microscopy Procedures, effective December 19, 2024, expires December 18, 2026.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 19, 2024
- Certificate expiration
- December 18, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 13, 1994
- Facility type
- Rural health clinic
- Ownership (control type)
- Private
- 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
- 42D0888716
- Lab name
- Lake City Family Medicine LLC
- Address
- 901 N Matthews Rd, Lake City, SC 29560
- Phone
- (843) 374-8380
- Fax
- (843) 374-5247
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 200
- Total
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Convenient Health and Wellness Virtual Care, LLCCertificate of Waiver, Physician office42D2295301
- DR Ronald E Mcnair Mem Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility42D0921969
- Elm PediatricsCertificate of Waiver, Physician office42D2250675
- FMC Pee Dee Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility42D0971531
- First Choice Ambulance, IncCertificate of Waiver, Ambulance42D2073448
- Lowcountry Urgent Care- Lake CityCertificate of Waiver, Other42D2218233
- Medical Univeristy Hospital Authority DBACertificate of Waiver, Rural health clinic42D1011689
- Medical University Hospital Authority DBA MuscCertificate of Waiver, Rural health clinic42D0251889
- Medicine Cabinet of Lake City, theCertificate of Waiver, Pharmacy42D2185089
Related
Questions
What is the CLIA number for Lake City Family Medicine LLC in Lake City?
42D0888716, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake City Family Medicine LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 42D0888716 expire?
The CMS file lists December 18, 2026 as the certificate expiration date; the certificate took effect December 19, 2024.