CLIA lab
CLIA 42D1011689: Medical Univeristy Hospital Authority DBA
Lake City, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1011689 belongs to Medical Univeristy Hospital Authority DBA in Lake City, SC.
Certificate of Waiver, effective October 1, 2024, expiration date September 30, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 1, 2024
- Certificate expiration
- September 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 18, 2003
- Facility type
- Rural health clinic
- 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
- 42D1011689
- Lab name
- Medical Univeristy Hospital Authority DBA
- Additional name
- Musc Health Primary Care - Mercy ST
- Address
- 334 Mercy Street, Lake City, SC 29560
- Phone
- (843) 374-9355
- Fax
- (843) 374-7953
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake City, SC
- All Quality Diagnostic Testing ServicesCertificate of Waiver, Other42D2263510
- Convenient Health and Wellness Virtual Care, LLCCertificate of Waiver, Physician office42D2295301
- DR Ronald E Mcnair Mem Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility42D0921969
- Elm PediatricsCertificate of Waiver, Physician office42D2250675
- FMC Pee Dee Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility42D0971531
- First Choice Ambulance, IncCertificate of Waiver, Ambulance42D2073448
- Lake City Family Medicine LLCCertificate for Provider-Performed Microscopy Procedures, Rural health clinic42D0888716
- Lowcountry Urgent Care- Lake CityCertificate of Waiver, Other42D2218233
- Medical University Hospital Authority DBA MuscCertificate of Waiver, Rural health clinic42D0251889
- Medicine Cabinet of Lake City, theCertificate of Waiver, Pharmacy42D2185089
Related
Questions
What is the CLIA number for Medical Univeristy Hospital Authority DBA in Lake City?
42D1011689, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medical Univeristy Hospital Authority DBA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1011689 expire?
The CMS file lists September 30, 2026 as the certificate expiration date; the certificate took effect October 1, 2024.