CLIA lab
CLIA 42D1093309: Divine Manor Assisted Living Center
Rock Hill, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1093309 belongs to Divine Manor Assisted Living Center in Rock Hill, SC.
Certificate of Waiver, effective December 16, 2024, expires December 15, 2026.
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 16, 2024
- Certificate expiration
- December 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 2008
- Facility type
- Assisted living 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
- 42D1093309
- Lab name
- Divine Manor Assisted Living Center
- Address
- 2210 Oak Pond Rd, Rock Hill, SC 29730
- Phone
- (803) 329-4494
- Fax
- (803) 329-5909
Annual test volume the lab reported
- Waived tests
- 2,920
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rock Hill, SC
- Adoration Home Health Care Virginia, LLCCertificate of Waiver, Home health agency42D2345739
- Affinity Health CenterCertificate of Waiver, Federally qualified health center42D0993565
- American National Red Cross, Rock Hill, SC, theCertificate of Waiver, Other42D2244604
- Amisub of SC DBA Piedmont Med CenterCertificate for Provider-Performed Microscopy Procedures, Hospital42D1009290
- Apex Osn SCCertificate of Waiver, Physician office42D2323796
- Atrium Health Neurospine Network, LLCCertificate of Waiver, Physician office42D2105766
- Atrium Health Urgent Care - Rock HillCertificate of Waiver, Physician office42D2105774
- Atrium Health Women's Care PiedmontCertificate for Provider-Performed Microscopy Procedures, Physician office42D0876967
- Atrium Health at Winthrop UniversityCertificate of Waiver, Other42D2183018
- Bayada Home Health Care, IncCertificate of Waiver, Home health agency42D2069622
Related
Questions
What is the CLIA number for Divine Manor Assisted Living Center in Rock Hill?
42D1093309, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Divine Manor Assisted Living Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1093309 expire?
The CMS file lists December 15, 2026 as the certificate expiration date; the certificate took effect December 16, 2024.