CLIA lab

CLIA 42D2104931: Fairview Park Alf

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

CLIA number 42D2104931 belongs to Fairview Park Alf in Simpsonville, SC.

Certificate of Waiver, effective November 16, 2025, expires November 15, 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
November 16, 2025
Certificate expiration
November 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 16, 2015
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
42D2104931
Lab name
Fairview Park Alf
Address
544 Harrison Bridge Rd, Simpsonville, SC 29680
Phone
(864) 757-8812

Annual test volume the lab reported

Waived tests
600

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 Fairview Park Alf in Simpsonville?

42D2104931, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fairview Park Alf hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2104931 expire?

The CMS file lists November 15, 2027 as the certificate expiration date; the certificate took effect November 16, 2025.

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