CLIA lab
CLIA 42D1105535: Prisma Health Pediatrics Powdersville
Greenville, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1105535 belongs to Prisma Health Pediatrics Powdersville in Greenville, SC.
Certificate of Waiver, effective September 17, 2026, expires September 16, 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
- September 17, 2026
- Certificate expiration
- September 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 2009
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 42D1105535
- Lab name
- Prisma Health Pediatrics Powdersville
- Address
- 207 Three Bridges Rd, Greenville, SC 29611
- Phone
- (864) 220-1110
- Fax
- (864) 220-1104
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Prisma Health Pediatrics Powdersville in Greenville?
42D1105535, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prisma Health Pediatrics Powdersville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1105535 expire?
The CMS file lists September 16, 2028 as the certificate expiration date; the certificate took effect September 17, 2026.