CLIA lab
CLIA 42D2231702: Holly Tree Family Dental, PA
Simpsonville, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2231702 belongs to Holly Tree Family Dental, PA in Simpsonville, SC.
Certificate of Waiver, effective August 5, 2025, expires August 4, 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
- August 5, 2025
- Certificate expiration
- August 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 5, 2021
- Facility type
- Other
- 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
- 42D2231702
- Lab name
- Holly Tree Family Dental, PA
- Address
- 1334 S Hwy 14, Simpsonville, SC 29681
- Phone
- (864) 297-5585
- Fax
- (864) 297-4166
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Simpsonville, SC
- Ascent Recovery Solutions, LLCCertificate of Waiver, Other42D2212745
- Ask Mobile Phlebotomy Labs LLCCertificate of Waiver, Mobile lab42D2326787
- Blufords Healthcare and AssociatesCertificate of Waiver, Physician office42D2321407
- Bon Secours - ST Francis LaboratoryCertificate of Accreditation, Ancillary test site42D2256046
- Bon Secours Ambulatory Services - ST Francis, LLCCertificate of Waiver, Other42D2082828
- Bon Secours Five Forks Emergency CenterCertificate of Registration, Ancillary test site42D2332698
- Bon Secours Holly Tree Family PracticeCertificate of Waiver, Physician office42D0864419
- Brookstone Terrace of SimpsonvilleCertificate of Waiver, Assisted living facility42D2347287
- Bsmh Occupational Health On-Site at FitesaCertificate of Waiver, Industrial42D2262771
- Carolinas Center for Oral & Facial SurgeryCertificate of Waiver, Other practitioner42D2269575
Related
Questions
What is the CLIA number for Holly Tree Family Dental, PA in Simpsonville?
42D2231702, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Holly Tree Family Dental, PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2231702 expire?
The CMS file lists August 4, 2027 as the certificate expiration date; the certificate took effect August 5, 2025.