CLIA lab

CLIA 42D2023993: Williamsburg Residential Care Facility

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

CLIA number 42D2023993 belongs to Williamsburg Residential Care Facility in Kingstree, SC.

Certificate of Waiver, effective April 21, 2025, expires April 20, 2027.

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
April 21, 2025
Certificate expiration
April 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 6, 2011
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
42D2023993
Lab name
Williamsburg Residential Care Facility
Address
14 Wrcf Street, Kingstree, SC 29556
Phone
(843) 355-6214
Fax
(843) 355-9724

Annual test volume the lab reported

Waived tests
1,825

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Kingstree, SC

Related

Questions

What is the CLIA number for Williamsburg Residential Care Facility in Kingstree?

42D2023993, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Williamsburg Residential Care Facility hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2023993 expire?

The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.

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