CLIA lab

CLIA 42D2236296: Precious Jewels Medical Lab

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

CLIA number 42D2236296 belongs to Precious Jewels Medical Lab in Irmo, SC.

Certificate of Waiver, effective September 16, 2025, expires September 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
September 16, 2025
Certificate expiration
September 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 16, 2021
Facility type
Other practitioner
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
42D2236296
Lab name
Precious Jewels Medical Lab
Additional name
DBA Precious Jewels Medical & Health Services, LLC
Address
401 Western Lane, Suite B, Irmo, SC 29063
Phone
(803) 830-9095

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Irmo, SC

Related

Questions

What is the CLIA number for Precious Jewels Medical Lab in Irmo?

42D2236296, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Precious Jewels Medical Lab hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2236296 expire?

The CMS file lists September 15, 2027 as the certificate expiration date; the certificate took effect September 16, 2025.

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