CLIA lab
CLIA 42D2206817: Spartanburg District Four
Woodruff, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2206817 belongs to Spartanburg District Four in Woodruff, 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
- School or student health service
- Ownership (control type)
- Government, 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
- 42D2206817
- Lab name
- Spartanburg District Four
- Address
- 118 Mcedco Road, Woodruff, SC 29388
- Phone
- (864) 476-3186
- Fax
- (864) 476-6186
Annual test volume the lab reported
- Waived tests
- 2,750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Woodruff, SC
- Brookstone Terrace of WoodruffCertificate of Waiver, Assisted living facility42D2345312
- Byrd Medical Associates, LLCCertificate of Waiver, Physician office42D0932017
- Dci WoodruffCertificate of Waiver, End stage renal disease dialysis facility42D2108836
- Family Practice of WoodruffCertificate for Provider-Performed Microscopy Procedures, Physician office42D1041859
- Laurens Electric North Office Wellness CenterCertificate of Waiver, Other42D2275511
- Montrose Manor AlfCertificate of Waiver, Other42D1063866
- Mukesh M Gandhi, MD, PACertificate of Waiver, Physician office42D0695268
- Piedmont Pediatrics of WoodruffCertificate of Waiver, Physician office42D2309295
- Premise Health of South Carolina Medical, PCCertificate of Waiver, Physician office42D2324439
- South Carolina CVS Pharmacy, LLCCertificate of Waiver, Pharmacy42D2285087
Related
Questions
What is the CLIA number for Spartanburg District Four in Woodruff?
42D2206817, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Spartanburg District Four hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2206817 expire?
The CMS file lists December 21, 2026 as the certificate expiration date; the certificate took effect December 22, 2024.