CLIA lab

CLIA 42D1077943: FMC Johnsonville Dialysis

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

CLIA number 42D1077943 belongs to FMC Johnsonville Dialysis in Johnsonville, SC.

Certificate of Waiver, effective December 21, 2025, expires December 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
December 21, 2025
Certificate expiration
December 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 21, 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
42D1077943
Lab name
FMC Johnsonville Dialysis
Address
200 Stuckey St, Johnsonville, SC 29555
Phone
(843) 380-1581
Fax
(843) 380-1753

Annual test volume the lab reported

Waived tests
400

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

Care facility at this address

Other labs in Johnsonville, SC

Related

Questions

What is the CLIA number for FMC Johnsonville Dialysis in Johnsonville?

42D1077943, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does FMC Johnsonville Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D1077943 expire?

The CMS file lists December 20, 2027 as the certificate expiration date; the certificate took effect December 21, 2025.

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