CLIA lab
CLIA 42D2143115: Blake at Edgewater, the
Indian Land, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2143115 belongs to Blake at Edgewater, the in Indian Land, SC.
Certificate of Waiver, effective January 24, 2026, expires January 23, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 24, 2026
- Certificate expiration
- January 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 24, 2018
- 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
- 42D2143115
- Lab name
- Blake at Edgewater, the
- Address
- 1099 Edgewater Corporate Parkway, Indian Land, SC 29707
- Phone
- (803) 310-4242
- Fax
- (803) 802-2634
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- CPN Inc DBA Ah PC Barnett FM Carolina LakesCertificate of Compliance, Physician office42D1099166
- CPN Inc DBA Ah PC Carolina Lakes Internal MedicineCertificate of Compliance, Physician office42D1096949
- CPN, Inc DBA Atrium Health PrimaryCertificate of Waiver, Physician office42D2243672
- CPN, Inc DBA Atrium Health Urgent Care Red StoneCertificate of Waiver, Physician office42D2194314
- Calloway Primary Care & Wellness LLCCertificate of Waiver, Physician office42D2345932
- Carolina Medical Consultants- Indian LandCertificate of Waiver, Physician office42D2336929
- Carolina Medical PartnersCertificate of Waiver, Physician office42D2236141
- Children's Clinic, Pa,theCertificate of Waiver, Physician office42D1105498
- DBA Musc Health Endocrinology-LancasterCertificate of Waiver, Physician office42D2301213
Related
Questions
What is the CLIA number for Blake at Edgewater, the in Indian Land?
42D2143115, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blake at Edgewater, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2143115 expire?
The CMS file lists January 23, 2028 as the certificate expiration date; the certificate took effect January 24, 2026.