CLIA lab

CLIA 42D2025533: Palmetto Manor (Cth-Ii) of Hampton Co DSN Board

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

CLIA number 42D2025533 belongs to Palmetto Manor (Cth-Ii) of Hampton Co DSN Board in Varnville, SC.

Certificate of Waiver, effective June 10, 2025, expires June 9, 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
June 10, 2025
Certificate expiration
June 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 10, 2011
Facility type
Intermediate care facility for individuals with intellectual disabilities
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
42D2025533
Lab name
Palmetto Manor (Cth-Ii) of Hampton Co DSN Board
Address
Palmetto Manor Community Training Home, 64 Marion Street, Varnville, SC 29944
Phone
(803) 943-4818
Fax
(803) 943-3322

Annual test volume the lab reported

Waived tests
365

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

Other labs in Varnville, SC

Related

Questions

What is the CLIA number for Palmetto Manor (Cth-Ii) of Hampton Co DSN Board in Varnville?

42D2025533, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Palmetto Manor (Cth-Ii) of Hampton Co DSN Board hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2025533 expire?

The CMS file lists June 9, 2027 as the certificate expiration date; the certificate took effect June 10, 2025.

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