CLIA lab
CLIA 42D2177402: Proactive MD Mauldin Health Center
Mauldin, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2177402 belongs to Proactive MD Mauldin Health Center in Mauldin, SC.
Certificate of Waiver, effective January 9, 2026, expires January 8, 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 9, 2026
- Certificate expiration
- January 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 9, 2020
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 42D2177402
- Lab name
- Proactive MD Mauldin Health Center
- Address
- 787 B E Butler Rd, Mauldin, SC 29662
- Phone
- (864) 501-0815
- Fax
- (864) 800-0086
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mauldin, SC
- Bon Secours Primary Care-MauldinCertificate of Waiver, Physician office42D0253120
- Center for Rehabilitation and Pain Management, LLCCertificate of Waiver, Physician office42D2004095
- Families First Family Medicine PCCertificate of Waiver, Physician office42D1041862
- Greenville Adhd Specialists PACertificate of Waiver, Physician office42D2349390
- Healthstat Inc Onsite ClinicCertificate of Waiver, Other42D1058869
- Mauldin Fire DepartmentCertificate of Waiver, Other42D2072585
- Minuteclinic Diagnostic of South Carolina, LLCCertificate of Waiver, Other42D2022669
- Minuteclinic Primary Care-South Carolina, LLCCertificate of Waiver, Other42D2323506
- NHC Healthcare-MauldinCertificate of Waiver, Skilled nursing or nursing facility42D0931812
- Novant Health Urgent Care MauldinCertificate of Waiver, Physician office42D2138833
Related
Questions
What is the CLIA number for Proactive MD Mauldin Health Center in Mauldin?
42D2177402, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Proactive MD Mauldin Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2177402 expire?
The CMS file lists January 8, 2028 as the certificate expiration date; the certificate took effect January 9, 2026.