CLIA lab
CLIA 42D0947946: Caromont Family Medicine Lake Wylie
Clover, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D0947946 belongs to Caromont Family Medicine Lake Wylie in Clover, SC.
Certificate of Waiver, effective May 15, 2025, expires May 14, 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 of Waiver
- Certificate effective
- May 15, 2025
- Certificate expiration
- May 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 26, 1998
- Facility type
- Other practitioner
- Ownership (control type)
- Private
- 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
- 42D0947946
- Lab name
- Caromont Family Medicine Lake Wylie
- Address
- 519 Nautical Drive, Ste A, Clover, SC 29710
- Phone
- (803) 631-2858
- Fax
- (803) 631-2862
Annual test volume the lab reported
- Waived tests
- 1,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Clover, SC
- Caromont Pediatric Partners-Lake WylieCertificate of Waiver, Physician office42D2285935
- Caromont Women's HealthCertificate for Provider-Performed Microscopy Procedures, Physician office42D2275777
- Foothills Lab LLCCertificate of Waiver, Independent42D2337255
- Honeywell North SafetyCertificate of Waiver, Industrial42D2169042
- Medcare PharmacyCertificate of Waiver, Pharmacy42D2290638
- Minuteclinic Diagnostic of South Carolina LLCCertificate of Waiver, Other42D2082266
- Minuteclinic Primary Care-South Carolina, LLCCertificate of Waiver, Other42D2323527
- Piedmont Physician NetworkCertificate of Waiver, Physician office42D0893934
- Poole EyecareCertificate of Waiver, Physician office42D2332123
Related
Questions
What is the CLIA number for Caromont Family Medicine Lake Wylie in Clover?
42D0947946, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Caromont Family Medicine Lake Wylie hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D0947946 expire?
The CMS file lists May 14, 2027 as the certificate expiration date; the certificate took effect May 15, 2025.