CLIA lab
CLIA 42D0909801: Self Medical Center Savannah Lakes
Mc Cormick, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D0909801 belongs to Self Medical Center Savannah Lakes in Mc Cormick, SC.
Certificate for Provider-Performed Microscopy Procedures, effective February 5, 2026, expires February 4, 2028.
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
- February 5, 2026
- Certificate expiration
- February 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 1995
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- 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
- 42D0909801
- Lab name
- Self Medical Center Savannah Lakes
- Address
- 207 Holiday Road, Mc Cormick, SC 29835
- Phone
- (864) 391-5011
- Fax
- (864) 391-8652
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 100
- Total
- 1,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mc Cormick, SC
- Forest View ManorCertificate of Waiver, Assisted living facility42D2014931
- Mccormick County Detention CenterCertificate of Waiver, Other42D2241799
- Mccormick County Emergency ServicesCertificate of Waiver, Ambulance42D2042282
- Mccormick Family Practice CenterCertificate of Waiver, Rural health clinic42D0995117
- Mccormick Skilled Nursing, LLCCertificate of Waiver, Skilled nursing or nursing facility42D0686379
- SC Gov School for Agriculture at John Dela HoweCertificate of Waiver, School or student health service42D2206759
Related
Questions
What is the CLIA number for Self Medical Center Savannah Lakes in Mc Cormick?
42D0909801, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Self Medical Center Savannah Lakes hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 42D0909801 expire?
The CMS file lists February 4, 2028 as the certificate expiration date; the certificate took effect February 5, 2026.