CLIA lab
CLIA 42D0912209: Lake Marion Nursing Facility Inc
Summerton, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D0912209 belongs to Lake Marion Nursing Facility Inc in Summerton, SC.
Certificate of Waiver, effective February 26, 2026, expires February 25, 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 of Waiver
- Certificate effective
- February 26, 2026
- Certificate expiration
- February 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 26, 1996
- 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
- 42D0912209
- Lab name
- Lake Marion Nursing Facility Inc
- Address
- 1527 Urbana Rd, Summerton, SC 29148
- Phone
- (803) 485-2317
- Fax
- (803) 485-6066
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Lake Marion Nursing FacilityCMS Care Compare ratings for the facility at the same street address
Other labs in Summerton, SC
Related
Questions
What is the CLIA number for Lake Marion Nursing Facility Inc in Summerton?
42D0912209, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Marion Nursing Facility Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D0912209 expire?
The CMS file lists February 25, 2028 as the certificate expiration date; the certificate took effect February 26, 2026.