CLIA lab

CLIA 42D0957074: H A Mccullough Community Residence

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

CLIA number 42D0957074 belongs to H A Mccullough Community Residence in Newberry, SC.

Certificate of Waiver, effective February 10, 2025, expires February 9, 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
February 10, 2025
Certificate expiration
February 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 10, 1999
Facility type
Intermediate care facility for individuals with intellectual disabilities
Ownership (control type)
Government, state
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
42D0957074
Lab name
H A Mccullough Community Residence
Address
2600 Holloway Street, Newberry, SC 29108
Phone
(803) 276-1542
Fax
(803) 276-0785

Annual test volume the lab reported

Waived tests
156

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

Other labs in Newberry, SC

Related

Questions

What is the CLIA number for H A Mccullough Community Residence in Newberry?

42D0957074, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does H A Mccullough Community Residence hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D0957074 expire?

The CMS file lists February 9, 2027 as the certificate expiration date; the certificate took effect February 10, 2025.

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