CLIA lab

CLIA 42D0934930: Self Medical Center- Newberry

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

CLIA number 42D0934930 belongs to Self Medical Center- Newberry in Newberry, SC.

Certificate for Provider-Performed Microscopy Procedures, effective October 17, 2025, expires October 16, 2027.

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
October 17, 2025
Certificate expiration
October 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 17, 1997
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
42D0934930
Lab name
Self Medical Center- Newberry
Address
2605 Kinard Street, Suite 200, Newberry, SC 29108
Phone
(803) 405-1900
Fax
(803) 405-1919

Annual test volume the lab reported

Waived tests
50,000
Provider-performed microscopy tests
1,000
Total
51,000

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 Self Medical Center- Newberry in Newberry?

42D0934930, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Self Medical Center- Newberry hold?

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

When does CLIA 42D0934930 expire?

The CMS file lists October 16, 2027 as the certificate expiration date; the certificate took effect October 17, 2025.

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