CLIA lab

CLIA 42D2059305: Healthstat On-Site Clinic/Zeus-Boulevard

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

CLIA number 42D2059305 belongs to Healthstat On-Site Clinic/Zeus-Boulevard in Orangeburg, SC.

Certificate of Waiver, effective May 21, 2025, expires May 20, 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
May 21, 2025
Certificate expiration
May 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 21, 2013
Facility type
Other
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
42D2059305
Lab name
Healthstat On-Site Clinic/Zeus-Boulevard
Address
3740 Industrial Boulevard, Orangeburg, SC 29118
Phone
(704) 529-6161
Fax
(704) 831-6097

Annual test volume the lab reported

Waived tests
150

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

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Related

Questions

What is the CLIA number for Healthstat On-Site Clinic/Zeus-Boulevard in Orangeburg?

42D2059305, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Healthstat On-Site Clinic/Zeus-Boulevard hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2059305 expire?

The CMS file lists May 20, 2027 as the certificate expiration date; the certificate took effect May 21, 2025.

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