CLIA lab
CLIA 42D1074056: Healthstat Inc On-Site Clinic
Johnston, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1074056 belongs to Healthstat Inc On-Site Clinic in Johnston, SC.
Certificate of Waiver, effective September 21, 2025, expires September 20, 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 21, 2025
- Certificate expiration
- September 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 21, 2007
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 42D1074056
- Lab name
- Healthstat Inc On-Site Clinic
- Additional name
- Milliken Johnston
- Address
- 79 Calhoun St, Johnston, SC 29832
- Phone
- (704) 529-6161
- Fax
- (704) 529-6572
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Johnston, SC
- Edgefield County School DistrictCertificate of Waiver, School or student health service42D2301460
- Edgefield Internal MedicineCertificate of Waiver, Physician office42D2260344
- Self Medical Center JohnstonCertificate for Provider-Performed Microscopy Procedures, Physician office42D2331788
- W Hugh Morgan M DCertificate for Provider-Performed Microscopy Procedures, Physician office42D0253796
Related
Questions
What is the CLIA number for Healthstat Inc On-Site Clinic in Johnston?
42D1074056, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Healthstat Inc On-Site Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1074056 expire?
The CMS file lists September 20, 2027 as the certificate expiration date; the certificate took effect September 21, 2025.