CLIA lab
CLIA 42D1093760: Ashlan Village
Lyman, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1093760 belongs to Ashlan Village in Lyman, SC.
Certificate of Waiver, effective December 31, 2024, expires December 30, 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 31, 2024
- Certificate expiration
- December 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 31, 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
- 42D1093760
- Lab name
- Ashlan Village
- Address
- 415 Brenda Way, Lyman, SC 29365
- Phone
- (864) 949-7825
- Fax
- (864) 721-2028
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 Lyman, SC
- Coremed Clinic LLCCertificate of Waiver, Physician office42D2337366
- Dialysis Newco, LLCCertificate of Waiver, End stage renal disease dialysis facility42D2051112
- Lyman Drug IncCertificate of Waiver, Pharmacy42D2240656
- Prime Health Solutions, LLCCertificate of Waiver, Independent42D2129521
- Sew EurodriveCertificate of Waiver, Other42D2143390
Related
Questions
What is the CLIA number for Ashlan Village in Lyman?
42D1093760, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ashlan Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1093760 expire?
The CMS file lists December 30, 2026 as the certificate expiration date; the certificate took effect December 31, 2024.