CLIA lab
CLIA 42D2092427: PH Family Medicine, Dutch Fork
Irmo, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2092427 belongs to PH Family Medicine, Dutch Fork in Irmo, SC.
Certificate of Waiver, effective March 4, 2025, expires March 3, 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
- March 4, 2025
- Certificate expiration
- March 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 2015
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 42D2092427
- Lab name
- PH Family Medicine, Dutch Fork
- Address
- 1079 Dutch Fork Road, Irmo, SC 29063
- Phone
- (803) 749-8900
- Fax
- (803) 749-8899
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.
Other labs in Irmo, SC
- Alf Project HB, LLC DBA Harbison ShoresCertificate of Waiver, Assisted living facility42D2195948
- American Health Imaging of IrmoCertificate of Waiver, Other42D2242539
- Ballentine Pediatrics,llcCertificate of Waiver, Physician office42D1088197
- Carolina Cardiology & Vascular Associates, LLCCertificate of Waiver, Physician office42D2166445
- Carolina Pediatrics PACertificate of Waiver, Physician office42D1074842
- Elite GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office42D2177576
- Encompass Health Rehabilitation Hospital of IrmoCertificate of Waiver, Hospital42D2333554
- Fresenius Medical Care Cna Kidney Centers, LLCCertificate of Waiver, End stage renal disease dialysis facility42D0986107
- Generations of Irmo, LLCCertificate of Waiver, Assisted living facility42D2066738
- Kroger Pharmacy #002Certificate of Waiver, Pharmacy42D2009090
Related
Questions
What is the CLIA number for PH Family Medicine, Dutch Fork in Irmo?
42D2092427, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PH Family Medicine, Dutch Fork hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2092427 expire?
The CMS file lists March 3, 2027 as the certificate expiration date; the certificate took effect March 4, 2025.