CLIA lab

CLIA 42D2029965: Angelic's Place LLC

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

CLIA number 42D2029965 belongs to Angelic's Place LLC in Sumter, SC.

Certificate of Waiver, effective September 20, 2025, expires September 19, 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
September 20, 2025
Certificate expiration
September 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 20, 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
42D2029965
Lab name
Angelic's Place LLC
Address
903 W Bartlette St, Sumter, SC 29150
Phone
(803) 775-1404
Fax
(803) 775-1404

Annual test volume the lab reported

Waived tests
2,555

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

Other labs in Sumter, SC

Related

Questions

What is the CLIA number for Angelic's Place LLC in Sumter?

42D2029965, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Angelic's Place LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2029965 expire?

The CMS file lists September 19, 2027 as the certificate expiration date; the certificate took effect September 20, 2025.

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