CLIA lab
CLIA 42D1025004: Pendergrass Family Health Center, the
Ware Shoals, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1025004 belongs to Pendergrass Family Health Center, the in Ware Shoals, SC.
Certificate for Provider-Performed Microscopy Procedures, effective April 26, 2025, expires April 25, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- April 26, 2025
- Certificate expiration
- April 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 27, 2004
- Facility type
- Community clinic
- 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
- 42D1025004
- Lab name
- Pendergrass Family Health Center, the
- Address
- 93 Greenwood Ave, South, Ware Shoals, SC 29692
- Phone
- (864) 456-7436
- Fax
- (864) 456-2942
Annual test volume the lab reported
- Waived tests
- 1,400
- Provider-performed microscopy tests
- 100
- Total
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ware Shoals, SC
Related
Questions
What is the CLIA number for Pendergrass Family Health Center, the in Ware Shoals?
42D1025004, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pendergrass Family Health Center, the hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 42D1025004 expire?
The CMS file lists April 25, 2027 as the certificate expiration date; the certificate took effect April 26, 2025.