CLIA lab

CLIA 42D2013664: Palmetto Internal Medicine & Primary Care PA

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

CLIA number 42D2013664 belongs to Palmetto Internal Medicine & Primary Care PA in Mauldin, SC.

Certificate for Provider-Performed Microscopy Procedures, effective September 23, 2026, expires September 22, 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 for Provider-Performed Microscopy Procedures
Certificate effective
September 23, 2026
Certificate expiration
September 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 23, 2010
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
42D2013664
Lab name
Palmetto Internal Medicine & Primary Care PA
Address
300 West Butler Road, Mauldin, SC 29662
Phone
(864) 236-9555
Fax
(864) 236-9551

Annual test volume the lab reported

Waived tests
500
Provider-performed microscopy tests
150
Total
650

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 Palmetto Internal Medicine & Primary Care PA in Mauldin?

42D2013664, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Palmetto Internal Medicine & Primary Care PA hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 42D2013664 expire?

The CMS file lists September 22, 2028 as the certificate expiration date; the certificate took effect September 23, 2026.

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