CLIA lab
CLIA 42D1010170: Ansley Glen at Greenwood, LLC
Greenwood, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1010170 belongs to Ansley Glen at Greenwood, LLC in Greenwood, SC.
Certificate of Waiver, effective March 7, 2025, expires March 6, 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
- March 7, 2025
- Certificate expiration
- March 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 7, 2003
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- 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
- 42D1010170
- Lab name
- Ansley Glen at Greenwood, LLC
- Address
- 1408 Parkway Rd, Greenwood, SC 29646
- Phone
- (864) 223-2281
- Fax
- (864) 223-0634
Annual test volume the lab reported
- Waived tests
- 33
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Childrens Center, theCertificate of Compliance, Other42D0252966
Related
Questions
What is the CLIA number for Ansley Glen at Greenwood, LLC in Greenwood?
42D1010170, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ansley Glen at Greenwood, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1010170 expire?
The CMS file lists March 6, 2027 as the certificate expiration date; the certificate took effect March 7, 2025.