CLIA lab

CLIA 42D2017363: Davidson Dermatology

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

CLIA number 42D2017363 belongs to Davidson Dermatology in Mt Pleasant, SC.

Certificate for Provider-Performed Microscopy Procedures, effective December 10, 2024, expires December 9, 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 for Provider-Performed Microscopy Procedures
Certificate effective
December 10, 2024
Certificate expiration
December 9, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 10, 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
42D2017363
Lab name
Davidson Dermatology
Address
901 Von Kolnitz, Ste 100, Mt Pleasant, SC 29464
Phone
(843) 216-3376
Fax
(843) 216-3242

Annual test volume the lab reported

Waived tests
56
Provider-performed microscopy tests
30
Total
86

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 Davidson Dermatology in Mt Pleasant?

42D2017363, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Davidson Dermatology hold?

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

When does CLIA 42D2017363 expire?

The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.

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