CLIA lab
CLIA 42D2109056: Addison Community Care Home
Columbia, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2109056 belongs to Addison Community Care Home in Columbia, SC.
Certificate of Waiver, effective February 18, 2026, expires February 17, 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
- February 18, 2026
- Certificate expiration
- February 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 18, 2016
- 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
- 42D2109056
- Lab name
- Addison Community Care Home
- Address
- 4013 Percival Road, Columbia, SC 29229
- Phone
- (803) 463-1697
- Fax
- (803) 753-9568
Annual test volume the lab reported
- Waived tests
- 82,962
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Columbia, SC
- A Moment of HopeCertificate of Waiver, Other42D2266959
- A1 Transportation LLCCertificate of Waiver, Ambulance42D2274321
- Abundant Life Concierge, LLCCertificate of Waiver, Physician office42D2278918
- Acercamiento Hispano/Sc Hispanic OutreachCertificate of Waiver, Other42D1068916
- Advance Dermatology of South CarolinaCertificate for Provider-Performed Microscopy Procedures, Physician office42D2320118
- Aesthetic Physicians, PC DBA Sono BelloCertificate of Waiver, Physician office42D2272574
- Aflac Care CenterCertificate of Waiver, Other42D2120974
- Agape Senior Primary Care IncCertificate of Waiver, Physician office42D2065150
- Aids Healthcare Foundation-Columbia HCCCertificate of Waiver, Physician office42D2143416
- Albert Humphrey MDCertificate for Provider-Performed Microscopy Procedures, Physician office42D0249433
Related
Questions
What is the CLIA number for Addison Community Care Home in Columbia?
42D2109056, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Addison Community Care Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2109056 expire?
The CMS file lists February 17, 2028 as the certificate expiration date; the certificate took effect February 18, 2026.