CLIA lab
CLIA 42D1021136: Sumter Internal Medicine Associates PA
Sumter, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1021136 belongs to Sumter Internal Medicine Associates PA in Sumter, SC.
Certificate of Waiver, effective January 13, 2026, expires January 12, 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
- January 13, 2026
- Certificate expiration
- January 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 2004
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 42D1021136
- Lab name
- Sumter Internal Medicine Associates PA
- Additional name
- Attn Jacqui Hawkey
- Address
- 2555 Lin Do Court, Sumter, SC 29150
- Phone
- (803) 773-5441
- Fax
- (803) 778-2394
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Cardio-Pulmonary RehabilitationCertificate of Waiver, Ancillary test site42D0964725
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Related
Questions
What is the CLIA number for Sumter Internal Medicine Associates PA in Sumter?
42D1021136, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sumter Internal Medicine Associates PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1021136 expire?
The CMS file lists January 12, 2028 as the certificate expiration date; the certificate took effect January 13, 2026.