CLIA lab
CLIA 42D2182772: Delta of Hollywoood, LLC
Hollywood, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2182772 belongs to Delta of Hollywoood, LLC in Hollywood, SC.
Certificate of Waiver, effective April 27, 2026, expires April 26, 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
- April 27, 2026
- Certificate expiration
- April 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 27, 2020
- Facility type
- Pharmacy
- 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
- 42D2182772
- Lab name
- Delta of Hollywoood, LLC
- Address
- 6251 Hwy 162 Unit H, Hollywood, SC 29449
- Phone
- (843) 564-5720
- Fax
- (800) 438-6715
Annual test volume the lab reported
- Waived tests
- 190
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Delta of Hollywoood, LLC in Hollywood?
42D2182772, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Delta of Hollywoood, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2182772 expire?
The CMS file lists April 26, 2028 as the certificate expiration date; the certificate took effect April 27, 2026.