CLIA lab
CLIA 42D2213658: Caromont Urgent Care-Lake Wylie
Lake Wylie, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2213658 belongs to Caromont Urgent Care-Lake Wylie in Lake Wylie, SC.
Certificate of Waiver, effective February 16, 2025, expires February 15, 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
- February 16, 2025
- Certificate expiration
- February 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 16, 2021
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 42D2213658
- Lab name
- Caromont Urgent Care-Lake Wylie
- Address
- 1201 Village Harbor Drive Suite 104, Attn Becky Stuman, Lake Wylie, SC 29710
- Phone
- (803) 831-6859
- Fax
- (803) 831-6860
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Endocrinology Associates - Lake WylieCertificate of Waiver, Physician office42D2125946
- Gentle Sticks Mobile Phlebotomy, LLCCertificate of Waiver, Mobile lab42D2225069
- Lake Wylie Assisted Living CommunityCertificate of Waiver, Other42D1075596
- Lake Wylie PharmacyCertificate of Waiver, Pharmacy42D2182790
- Sunflower Springs of Lake WylieCertificate of Waiver, Assisted living facility42D2325349
- TLC Your Way Home Care Services, IncCertificate of Waiver, Home health agency42D2237165
- Walgreens#10838Certificate of Waiver, Pharmacy42D2043185
- Walmart Pharmacy 10-5745Certificate of Waiver, Pharmacy42D2181949
Related
Questions
What is the CLIA number for Caromont Urgent Care-Lake Wylie in Lake Wylie?
42D2213658, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Caromont Urgent Care-Lake Wylie hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2213658 expire?
The CMS file lists February 15, 2027 as the certificate expiration date; the certificate took effect February 16, 2025.