CLIA lab

CLIA 42D0911761: Waverly Family Practice

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

CLIA number 42D0911761 belongs to Waverly Family Practice in Columbia, SC.

Certificate for Provider-Performed Microscopy Procedures, effective April 1, 2026, expires March 31, 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
April 1, 2026
Certificate expiration
March 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 14, 1996
Facility type
Community clinic
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
42D0911761
Lab name
Waverly Family Practice
Address
1228 Harden Street Suite C, Columbia, SC 29204
Phone
(803) 748-1181
Fax
(803) 748-1185

Affiliated CLIA numbers

Other labs in Columbia, SC

Related

Questions

What is the CLIA number for Waverly Family Practice in Columbia?

42D0911761, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Waverly Family Practice hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 42D0911761 expire?

The CMS file lists March 31, 2028 as the certificate expiration date; the certificate took effect April 1, 2026.

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