CLIA lab

CLIA 42D2125420: Blue Mountain Labs

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

CLIA number 42D2125420 belongs to Blue Mountain Labs in Charleston, SC.

Certificate of Waiver, effective February 7, 2025, expires February 6, 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
February 7, 2025
Certificate expiration
February 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 7, 2017
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
42D2125420
Lab name
Blue Mountain Labs
Address
2290 Henry Tecklenburg, Dr, Charleston, SC 29414
Phone
(843) 556-4100
Fax
(843) 556-4105

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Charleston, SC

Related

Questions

What is the CLIA number for Blue Mountain Labs in Charleston?

42D2125420, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Blue Mountain Labs hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2125420 expire?

The CMS file lists February 6, 2027 as the certificate expiration date; the certificate took effect February 7, 2025.

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