CLIA lab
CLIA 42D2168255: Prisma Health Family & Internal Medicine -
Simpsonville, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2168255 belongs to Prisma Health Family & Internal Medicine - in Simpsonville, SC.
Certificate of Waiver, effective June 25, 2025, expires June 24, 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
- June 25, 2025
- Certificate expiration
- June 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 25, 2019
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 42D2168255
- Lab name
- Prisma Health Family & Internal Medicine -
- Additional name
- Five Forks
- Address
- 300 Scuffletown Rd, Simpsonville, SC 29681
- Phone
- (864) 000-0000
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 Simpsonville, SC
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- Ask Mobile Phlebotomy Labs LLCCertificate of Waiver, Mobile lab42D2326787
- Blufords Healthcare and AssociatesCertificate of Waiver, Physician office42D2321407
- Bon Secours - ST Francis LaboratoryCertificate of Accreditation, Ancillary test site42D2256046
- Bon Secours Ambulatory Services - ST Francis, LLCCertificate of Waiver, Other42D2082828
- Bon Secours Five Forks Emergency CenterCertificate of Registration, Ancillary test site42D2332698
- Bon Secours Holly Tree Family PracticeCertificate of Waiver, Physician office42D0864419
- Brookstone Terrace of SimpsonvilleCertificate of Waiver, Assisted living facility42D2347287
- Bsmh Occupational Health On-Site at FitesaCertificate of Waiver, Industrial42D2262771
- Carolinas Center for Oral & Facial SurgeryCertificate of Waiver, Other practitioner42D2269575
Related
Questions
What is the CLIA number for Prisma Health Family & Internal Medicine - in Simpsonville?
42D2168255, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prisma Health Family & Internal Medicine - hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2168255 expire?
The CMS file lists June 24, 2027 as the certificate expiration date; the certificate took effect June 25, 2025.