CLIA lab

CLIA 42D2233393: Wannamaker Drug

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

CLIA number 42D2233393 belongs to Wannamaker Drug in Chesterfield, SC.

Certificate of Waiver, effective August 23, 2025, expires August 22, 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 23, 2025
Certificate expiration
August 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 23, 2021
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
42D2233393
Lab name
Wannamaker Drug
Address
107 West Blvd, Chesterfield, SC 29709
Phone
(843) 623-2999
Fax
(843) 623-3615

Annual test volume the lab reported

Waived tests
25

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 Wannamaker Drug in Chesterfield?

42D2233393, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wannamaker Drug hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2233393 expire?

The CMS file lists August 22, 2027 as the certificate expiration date; the certificate took effect August 23, 2025.

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