CLIA lab

CLIA 42D0914602: Dialysis Clinic, Inc - West

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

CLIA number 42D0914602 belongs to Dialysis Clinic, Inc - West in Spartanburg, SC.

Certificate of Waiver, effective May 6, 2026, expires May 5, 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
May 6, 2026
Certificate expiration
May 5, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 6, 1996
Facility type
End stage renal disease dialysis facility
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
3

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

Lab and contact

CLIA number
42D0914602
Lab name
Dialysis Clinic, Inc - West
Additional name
Attn Penny Glover
Address
105 Tradd Street, Spartanburg, SC 29301
Phone
(864) 574-8828

Annual test volume the lab reported

Waived tests
1,000

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

Care facility at this address

Affiliated CLIA numbers

Other labs in Spartanburg, SC

Related

Questions

What is the CLIA number for Dialysis Clinic, Inc - West in Spartanburg?

42D0914602, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dialysis Clinic, Inc - West hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D0914602 expire?

The CMS file lists May 5, 2028 as the certificate expiration date; the certificate took effect May 6, 2026.

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