CLIA lab

CLIA 42D2041369: Sandhills Medical Foundation Kershaw Office

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

CLIA number 42D2041369 belongs to Sandhills Medical Foundation Kershaw Office in Kershaw, SC.

Certificate of Waiver, effective May 22, 2026, expires May 21, 2028.

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
May 22, 2026
Certificate expiration
May 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 22, 2012
Facility type
Federally qualified health center
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
42D2041369
Lab name
Sandhills Medical Foundation Kershaw Office
Address
205 W Marion St, Kershaw, SC 29067
Phone
(803) 475-4701
Fax
(803) 475-4712

Annual test volume the lab reported

Waived tests
5,000

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

Affiliated CLIA numbers

Other labs in Kershaw, SC

Related

Questions

What is the CLIA number for Sandhills Medical Foundation Kershaw Office in Kershaw?

42D2041369, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sandhills Medical Foundation Kershaw Office hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2041369 expire?

The CMS file lists May 21, 2028 as the certificate expiration date; the certificate took effect May 22, 2026.

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