CLIA lab
CLIA 42D2029839: Premise Health of South Carolina Medical, PC
Hartsville, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2029839 belongs to Premise Health of South Carolina Medical, PC in Hartsville, SC.
Certificate of Waiver, effective September 15, 2025, expires September 14, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 15, 2025
- Certificate expiration
- September 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 2011
- 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
- 42D2029839
- Lab name
- Premise Health of South Carolina Medical, PC
- Address
- 448 Novelty Avenue, Hartsville, SC 29550
- Phone
- (843) 383-3233
- Fax
- (843) 383-3265
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hartsville, SC
- Black Creek Medical ConsultantsCertificate of Waiver, Physician office42D2347430
- Caresouth Carolina Inc Hartsville PediatricsCertificate of Waiver, Federally qualified health center42D2003519
- Caresouth Carolina Inc Hartsville- Suite BCertificate of Waiver, Federally qualified health center42D2338052
- Caresouth Carolina Inc- Hartsville CenterCertificate of Waiver, Federally qualified health center42D0875468
- Caring Hearts Pediatrics, LLCCertificate of Waiver, Physician office42D2042284
- Carolina Family Practice PACertificate of Registration, Physician office42D2349022
- Carolina Pines Regional Medical CenterCertificate of Accreditation, Hospital42D0678223
- Carolina Pines Regional Medical CenterCertificate of Accreditation, Ancillary test site42D0679967
- Carolina Pines Regional Medical CenterCertificate of Waiver, Hospital42D0978480
- Center for Health and Wellness, PCCertificate of Waiver, Physician office42D2327455
Related
Questions
What is the CLIA number for Premise Health of South Carolina Medical, PC in Hartsville?
42D2029839, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of South Carolina Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2029839 expire?
The CMS file lists September 14, 2027 as the certificate expiration date; the certificate took effect September 15, 2025.