CLIA lab
CLIA 42D2109757: Williston Family Medicine
Williston, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2109757 belongs to Williston Family Medicine in Williston, SC.
Certificate of Waiver, effective April 29, 2026, expires April 28, 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
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
- April 29, 2026
- Certificate expiration
- April 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 1, 2016
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 42D2109757
- Lab name
- Williston Family Medicine
- Address
- 13649 Church Street, Williston, SC 29853
- Phone
- (803) 266-0060
- Fax
- (803) 266-0042
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Williston, SC
Related
Questions
What is the CLIA number for Williston Family Medicine in Williston?
42D2109757, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Williston Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2109757 expire?
The CMS file lists April 28, 2028 as the certificate expiration date; the certificate took effect April 29, 2026.