CLIA lab
CLIA 42D0989215: Quillen Manor LLC
Fountain Inn, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D0989215 belongs to Quillen Manor LLC in Fountain Inn, SC.
Certificate of Waiver, effective July 28, 2025, expires July 27, 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
- July 28, 2025
- Certificate expiration
- July 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 19, 2001
- Facility type
- Other
- 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
- 42D0989215
- Lab name
- Quillen Manor LLC
- Address
- 709 Quillen Avenue, Fountain Inn, SC 29644
- Phone
- (864) 862-3252
- Fax
- (864) 862-3254
Annual test volume the lab reported
- Waived tests
- 2,760
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fountain Inn, SC
- Bestrx Pharmacy (Mukta LLC)Certificate of Waiver, Pharmacy42D2211741
- Bon Secours Primary Care Fountain InnCertificate for Provider-Performed Microscopy Procedures, Physician office42D0253234
- Bosch RexrothCertificate of Waiver, Other42D2339291
- Canebrake Fire DistrictCertificate of Waiver, Other42D2120461
- Fountain Inn DialysisCertificate of Waiver, End stage renal disease dialysis facility42D1073932
- Fountain Inn Fire DepartmentCertificate of Waiver, Other42D2095011
- Fountain Inn Post AcuteCertificate of Waiver, Skilled nursing or nursing facility42D0958568
- Onsite Innovations LLC at FuyaoCertificate of Waiver, Industrial42D2299053
- Pierburg, IncCertificate of Waiver, Other42D1096469
- Prisma Health Primary Care Fountain InnCertificate of Waiver, Rural health clinic42D2237543
Related
Questions
What is the CLIA number for Quillen Manor LLC in Fountain Inn?
42D0989215, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Quillen Manor LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D0989215 expire?
The CMS file lists July 27, 2027 as the certificate expiration date; the certificate took effect July 28, 2025.