CLIA lab
CLIA 42D2029976: Goose Creek Manor (Assisted Living Facility)
Goose Creek, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2029976 belongs to Goose Creek Manor (Assisted Living Facility) in Goose Creek, 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
- 42D2029976
- Lab name
- Goose Creek Manor (Assisted Living Facility)
- Address
- 104 Marilyn St, Goose Creek, SC 29445
- Phone
- (843) 572-7442
- Fax
- (843) 572-7442
Annual test volume the lab reported
- Waived tests
- 936
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Goose Creek, SC
- Active Day of LowcountryCertificate of Waiver, Other42D0981664
- Adma Bio Centers Georgia, IncCertificate of Compliance, Other42D2215727
- Alumax of South CarolinaCertificate of Waiver, Industrial42D0716785
- Berkeley ElectricCertificate of Waiver, Other42D2240086
- Charleston Carenow Urgent CareCertificate of Waiver, Physician office42D2136857
- City of Goose Creek Fire DepartmentCertificate of Waiver, Ambulance42D2080493
- Coastal Internal Medicine & Geriatrics, LLCCertificate of Waiver, Physician office42D2130836
- Cooper River Partners, LLCCertificate of Waiver, Industrial42D0680227
- Dialysis Clinic Inc-Dci Goose CreekCertificate of Waiver, End stage renal disease dialysis facility42D1079073
- East Cooper Center for Pelvic Medicine-Goose CreekCertificate for Provider-Performed Microscopy Procedures, Physician office42D2324396
Related
Questions
What is the CLIA number for Goose Creek Manor (Assisted Living Facility) in Goose Creek?
42D2029976, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Goose Creek Manor (Assisted Living Facility) hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2029976 expire?
The CMS file lists September 19, 2027 as the certificate expiration date; the certificate took effect September 20, 2025.