CLIA lab
CLIA 42D1001164: Kershaw County Community Medical Clinic
Camden, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1001164 belongs to Kershaw County Community Medical Clinic in Camden, SC.
Certificate of Waiver, effective July 2, 2026, expires July 1, 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
- July 2, 2026
- Certificate expiration
- July 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 2, 2002
- Facility type
- Physician office
- 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
- 42D1001164
- Lab name
- Kershaw County Community Medical Clinic
- Address
- 110 E Dekalb Street, Suite 1B, Camden, SC 29020
- Phone
- (803) 713-0806
- Fax
- (803) 713-0526
Annual test volume the lab reported
- Waived tests
- 500
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 Kershaw County Community Medical Clinic in Camden?
42D1001164, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kershaw County Community Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1001164 expire?
The CMS file lists July 1, 2028 as the certificate expiration date; the certificate took effect July 2, 2026.