CLIA lab

CLIA 42D1059597: Advanced Dermatology of South Carolina

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

CLIA number 42D1059597 belongs to Advanced Dermatology of South Carolina in Fort Mill, SC.

Certificate for Provider-Performed Microscopy Procedures, effective February 13, 2026, expires February 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 for Provider-Performed Microscopy Procedures
Certificate effective
February 13, 2026
Certificate expiration
February 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 3, 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
42D1059597
Lab name
Advanced Dermatology of South Carolina
Address
1700 First Baxter Crossing Ste 101, Fort Mill, SC 29708
Phone
(407) 284-3407
Fax
(407) 284-3407

Annual test volume the lab reported

Waived tests
50
Provider-performed microscopy tests
25
Total
75

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 Advanced Dermatology of South Carolina in Fort Mill?

42D1059597, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Advanced Dermatology of South Carolina hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 42D1059597 expire?

The CMS file lists February 12, 2028 as the certificate expiration date; the certificate took effect February 13, 2026.

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