CLIA lab
CLIA 42D2266021: Southern Palmetto Primary Care
Great Falls, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2266021 belongs to Southern Palmetto Primary Care in Great Falls, SC.
Certificate of Waiver, effective August 4, 2026, expires August 3, 2028.
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 4, 2026
- Certificate expiration
- August 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 4, 2022
- Facility type
- Physician office
- 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
- 42D2266021
- Lab name
- Southern Palmetto Primary Care
- Address
- 503 Chester Avenue, Suite C, Great Falls, SC 29055
- Phone
- (803) 482-5904
- Fax
- (803) 482-5906
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Great Falls, SC
Related
Questions
What is the CLIA number for Southern Palmetto Primary Care in Great Falls?
42D2266021, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Palmetto Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2266021 expire?
The CMS file lists August 3, 2028 as the certificate expiration date; the certificate took effect August 4, 2026.