CLIA lab
CLIA 42D1073932: Fountain Inn Dialysis
Fountain Inn, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1073932 belongs to Fountain Inn Dialysis in Fountain Inn, SC.
Certificate of Waiver, effective September 19, 2025, expires September 18, 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 of Waiver
- Certificate effective
- September 19, 2025
- Certificate expiration
- September 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 19, 2007
- Facility type
- End stage renal disease dialysis facility
- 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
- 42D1073932
- Lab name
- Fountain Inn Dialysis
- Address
- 298 Chapman Rd, Fountain Inn, SC 29644
- Phone
- (864) 862-2273
- Fax
- (864) 862-2465
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fountain Inn, SC
- Bestrx Pharmacy (Mukta LLC)Certificate of Waiver, Pharmacy42D2211741
- Bon Secours Primary Care Fountain InnCertificate for Provider-Performed Microscopy Procedures, Physician office42D0253234
- Bosch RexrothCertificate of Waiver, Other42D2339291
- Canebrake Fire DistrictCertificate of Waiver, Other42D2120461
- Fountain Inn Fire DepartmentCertificate of Waiver, Other42D2095011
- Fountain Inn Post AcuteCertificate of Waiver, Skilled nursing or nursing facility42D0958568
- Onsite Innovations LLC at FuyaoCertificate of Waiver, Industrial42D2299053
- Pierburg, IncCertificate of Waiver, Other42D1096469
- Prisma Health Primary Care Fountain InnCertificate of Waiver, Rural health clinic42D2237543
- Quillen Manor LLCCertificate of Waiver, Other42D0989215
Related
Questions
What is the CLIA number for Fountain Inn Dialysis in Fountain Inn?
42D1073932, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fountain Inn Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1073932 expire?
The CMS file lists September 18, 2027 as the certificate expiration date; the certificate took effect September 19, 2025.