CLIA lab
CLIA 42D1023076: Ivy Grove Residential Center
Gaffney, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1023076 belongs to Ivy Grove Residential Center in Gaffney, SC.
Certificate of Waiver, effective March 8, 2026, expires March 7, 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
- March 8, 2026
- Certificate expiration
- March 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 8, 2004
- Facility type
- Other
- 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
- 42D1023076
- Lab name
- Ivy Grove Residential Center
- Address
- 483 Lockhart Lane, Gaffney, SC 29341
- Phone
- (864) 487-0869
- Fax
- (864) 487-8837
Annual test volume the lab reported
- Waived tests
- 7,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ambustar AmbulanceCertificate of Waiver, Ambulance42D2040987
- American Transmed, IncCertificate of Waiver, Ambulance42D2071442
- Angelic Services, LLCCertificate of Waiver, Other42D2092407
- Bon Secours Hospice By Compassus - GaffneyCertificate of Waiver, Hospice42D1097899
- Broad River Electric Bsmh Occupational HealthCertificate of Waiver, Other practitioner42D2309765
- Brookview Healthcare Center LLC DBA BrookviewCertificate of Waiver, Skilled nursing or nursing facility42D0927334
- Brown Packing Co, IncCertificate of Waiver, Other42D2133570
- CMC - Center for ObgynCertificate for Provider-Performed Microscopy Procedures, Physician office42D0975853
- CMC Center for PediatricsCertificate of Waiver, Physician office42D2176049
- CMC Immediate Care GaffneyCertificate of Accreditation, Other42D0867853
Related
Questions
What is the CLIA number for Ivy Grove Residential Center in Gaffney?
42D1023076, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ivy Grove Residential Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1023076 expire?
The CMS file lists March 7, 2028 as the certificate expiration date; the certificate took effect March 8, 2026.