CLIA lab

CLIA 42D2206807: Patrick Square Pharmacy

Clemson, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 42D2206807 belongs to Patrick Square Pharmacy in Clemson, SC.

Certificate of Waiver, effective December 22, 2024, expires December 21, 2026.

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
December 22, 2024
Certificate expiration
December 21, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 22, 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
42D2206807
Lab name
Patrick Square Pharmacy
Address
143 Thomas Green Blvd, Clemson, SC 29631
Phone
(864) 999-2900
Fax
(864) 999-2901

Annual test volume the lab reported

Waived tests
1,000

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 Patrick Square Pharmacy in Clemson?

42D2206807, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Patrick Square Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2206807 expire?

The CMS file lists December 21, 2026 as the certificate expiration date; the certificate took effect December 22, 2024.

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