CLIA lab

CLIA 42D1056705: Detyens Medical Center

North Charleston, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 42D1056705 belongs to Detyens Medical Center in North Charleston, SC.

Certificate of Waiver, effective July 24, 2026, expires July 23, 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
July 24, 2026
Certificate expiration
July 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 24, 2006
Facility type
Physician office
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
42D1056705
Lab name
Detyens Medical Center
Address
1670 Drydock Ave Bldg 10A, North Charleston, SC 29405
Phone
(843) 747-3193
Fax
(843) 747-3194

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Detyens Medical Center in North Charleston?

42D1056705, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Detyens Medical Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D1056705 expire?

The CMS file lists July 23, 2028 as the certificate expiration date; the certificate took effect July 24, 2026.

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