CLIA lab

CLIA 42D2237543: Prisma Health Primary Care Fountain Inn

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

CLIA number 42D2237543 belongs to Prisma Health Primary Care Fountain Inn in Fountain Inn, SC.

Certificate of Waiver, effective September 27, 2025, expires September 26, 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 27, 2025
Certificate expiration
September 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 27, 2021
Facility type
Rural health clinic
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
42D2237543
Lab name
Prisma Health Primary Care Fountain Inn
Address
200 N Nelson Drive, Fountain Inn, SC 29644
Phone
(864) 522-6270
Fax
(864) 522-6275

Annual test volume the lab reported

Waived tests
2,000

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

Other labs in Fountain Inn, SC

Related

Questions

What is the CLIA number for Prisma Health Primary Care Fountain Inn in Fountain Inn?

42D2237543, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prisma Health Primary Care Fountain Inn hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2237543 expire?

The CMS file lists September 26, 2027 as the certificate expiration date; the certificate took effect September 27, 2025.

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