CLIA lab

CLIA 42D0912719: Prisma Health Keystone Family Medicine

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

CLIA number 42D0912719 belongs to Prisma Health Keystone Family Medicine in Simpsonville, SC.

Certificate of Accreditation, effective June 3, 2026, expires June 2, 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 Accreditation
Certificate effective
June 3, 2026
Certificate expiration
June 2, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 11, 1996
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Accrediting organizations
COLA

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

Lab and contact

CLIA number
42D0912719
Lab name
Prisma Health Keystone Family Medicine
Address
1409 West Georgia Rd, Ste B, Simpsonville, SC 29680
Phone
(864) 299-5030
Fax
(864) 299-3543

Annual test volume the lab reported

Waived tests
3,000
Tests under accreditation
5,402
Total
8,402

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Prisma Health Keystone Family Medicine in Simpsonville?

42D0912719, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prisma Health Keystone Family Medicine hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 42D0912719 expire?

The CMS file lists June 2, 2028 as the certificate expiration date; the certificate took effect June 3, 2026.

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