CLIA lab
CLIA 42D2209210: Johnsonville Adult Care Services
Johnsonville, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2209210 belongs to Johnsonville Adult Care Services in Johnsonville, SC.
Certificate of Waiver, effective January 12, 2025, expires January 11, 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
- January 12, 2025
- Certificate expiration
- January 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 12, 2021
- Facility type
- Assisted living facility
- 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
- 42D2209210
- Lab name
- Johnsonville Adult Care Services
- Address
- 351 S Midway Hwy, Johnsonville, SC 29555
- Phone
- (843) 380-0777
- Fax
- (843) 380-1571
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.
Other labs in Johnsonville, SC
- FMC Johnsonville DialysisCertificate of Waiver, End stage renal disease dialysis facility42D1077943
- Health Care Partners-Johnsonville SiteCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center42D1037521
- Johnsonville Rescue & Ambulance Service IncCertificate of Waiver, Ambulance42D2083251
- Mcleod Family Medicine JohnsonvilleCertificate of Waiver, Physician office42D0970936
- Quantiva DiagnosticsCertificate of Waiver, Independent42D2346811
Related
Questions
What is the CLIA number for Johnsonville Adult Care Services in Johnsonville?
42D2209210, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Johnsonville Adult Care Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2209210 expire?
The CMS file lists January 11, 2027 as the certificate expiration date; the certificate took effect January 12, 2025.