CLIA lab

CLIA 42D2130836: Coastal Internal Medicine & Geriatrics, LLC

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

CLIA number 42D2130836 belongs to Coastal Internal Medicine & Geriatrics, LLC in Goose Creek, SC.

Certificate of Waiver, effective May 18, 2025, expires May 17, 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
May 18, 2025
Certificate expiration
May 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 18, 2017
Facility type
Physician office
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
42D2130836
Lab name
Coastal Internal Medicine & Geriatrics, LLC
Address
597 Old Mount Holly Rd, Ste 202, Goose Creek, SC 29445
Phone
(843) 466-8000

Annual test volume the lab reported

Waived tests
4,000

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

Other labs in Goose Creek, SC

Related

Questions

What is the CLIA number for Coastal Internal Medicine & Geriatrics, LLC in Goose Creek?

42D2130836, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Coastal Internal Medicine & Geriatrics, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2130836 expire?

The CMS file lists May 17, 2027 as the certificate expiration date; the certificate took effect May 18, 2025.

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