CLIA lab
CLIA 42D2167797: Agape Senior Primay Care DBA Main Street Physician
Conway, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2167797 belongs to Agape Senior Primay Care DBA Main Street Physician in Conway, SC.
Certificate for Provider-Performed Microscopy Procedures, effective June 14, 2025, expires June 13, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 14, 2025
- Certificate expiration
- June 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 14, 2019
- 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
- 42D2167797
- Lab name
- Agape Senior Primay Care DBA Main Street Physician
- Address
- 241 Singleton Ridge Rd, Ste B, Conway, SC 29526
- Phone
- (184) 325-9761
Annual test volume the lab reported
- Waived tests
- 1,250
- Provider-performed microscopy tests
- 250
- Total
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Conway, SC
- Advanced GYN and WellnessCertificate of Waiver, Physician office42D2341092
- Agape Senior Primary Care, Inc- Downtown ConwayCertificate of Waiver, Physician office42D2094999
- Amedisys Home Health of South Carolina, LLCCertificate of Waiver, Home health agency42D0953418
- Anderson Oaks Assisted LivingCertificate of Waiver, Assisted living facility42D2010886
- Associated Medical Specialists, PA DBACertificate of Compliance, Physician office42D0252067
- Atlantic Coast Adult MedicineCertificate of Waiver, Physician office42D2238536
- Atlantic Coast Pain Specialists, IncCertificate of Accreditation, Physician office42D2098356
- Auc Urologists , LLCCertificate for Provider-Performed Microscopy Procedures, Physician office42D2165402
- Bluebird Healthcare, IncCertificate of Waiver, Skilled nursing or nursing facility42D0251728
- Brookdale ConwayCertificate of Waiver, Assisted living facility42D0981660
Related
Questions
What is the CLIA number for Agape Senior Primay Care DBA Main Street Physician in Conway?
42D2167797, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Agape Senior Primay Care DBA Main Street Physician hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 42D2167797 expire?
The CMS file lists June 13, 2027 as the certificate expiration date; the certificate took effect June 14, 2025.