CLIA lab
CLIA 42D2129503: Edisto Indian Free Clinic
Ridgeville, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2129503 belongs to Edisto Indian Free Clinic in Ridgeville, SC.
Certificate of Waiver, effective April 20, 2025, expires April 19, 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
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 20, 2025
- Certificate expiration
- April 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 20, 2017
- Facility type
- Community clinic
- Ownership (control type)
- Government, state
- 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
- 42D2129503
- Lab name
- Edisto Indian Free Clinic
- Address
- 1125 Ridge Rd, Ridgeville, SC 29472
- Phone
- (843) 871-2126
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ridgeville, SC
Related
Questions
What is the CLIA number for Edisto Indian Free Clinic in Ridgeville?
42D2129503, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Edisto Indian Free Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2129503 expire?
The CMS file lists April 19, 2027 as the certificate expiration date; the certificate took effect April 20, 2025.