CLIA lab

CLIA 42D2123449: Lakeside Medical Response

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

CLIA number 42D2123449 belongs to Lakeside Medical Response in Florence, SC.

Certificate of Waiver, effective December 21, 2024, expires December 20, 2026.

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
December 21, 2024
Certificate expiration
December 20, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 21, 2016
Facility type
Ambulance
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
42D2123449
Lab name
Lakeside Medical Response
Address
1801-D West Evans Street Suite 110, Florence, SC 29501
Phone
(843) 629-7133
Fax
(843) 629-7233

Annual test volume the lab reported

Waived tests
75

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 Lakeside Medical Response in Florence?

42D2123449, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lakeside Medical Response hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2123449 expire?

The CMS file lists December 20, 2026 as the certificate expiration date; the certificate took effect December 21, 2024.

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