CLIA lab

CLIA 42D1087628: Carolina Spine & Sport Rehab Specialists, PA

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

CLIA number 42D1087628 belongs to Carolina Spine & Sport Rehab Specialists, PA in West Columbia, SC.

Certificate of Waiver, effective August 8, 2026, expires August 7, 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
August 8, 2026
Certificate expiration
August 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 8, 2008
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
42D1087628
Lab name
Carolina Spine & Sport Rehab Specialists, PA
Address
1904 Sunset Blvd, Suite C, West Columbia, SC 29169
Phone
(843) 569-5421
Fax
(843) 569-5973

Annual test volume the lab reported

Waived tests
2,000

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

Other labs in West Columbia, SC

Related

Questions

What is the CLIA number for Carolina Spine & Sport Rehab Specialists, PA in West Columbia?

42D1087628, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Carolina Spine & Sport Rehab Specialists, PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D1087628 expire?

The CMS file lists August 7, 2028 as the certificate expiration date; the certificate took effect August 8, 2026.

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