CLIA lab
CLIA 42D1090471: Healthstat on Site Clinic-Enterprise
Marietta, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1090471 belongs to Healthstat on Site Clinic-Enterprise in Marietta, SC.
Certificate of Waiver, effective October 13, 2026, expires October 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 of Waiver
- Certificate effective
- October 13, 2026
- Certificate expiration
- October 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 13, 2008
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 42D1090471
- Lab name
- Healthstat on Site Clinic-Enterprise
- Address
- 512 Pumpkintown Rd, Marietta, SC 29661
- 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 Marietta, SC
Related
Questions
What is the CLIA number for Healthstat on Site Clinic-Enterprise in Marietta?
42D1090471, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Healthstat on Site Clinic-Enterprise hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1090471 expire?
The CMS file lists October 12, 2028 as the certificate expiration date; the certificate took effect October 13, 2026.