CLIA lab
CLIA 42D2331788: Self Medical Center Johnston
Johnston, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2331788 belongs to Self Medical Center Johnston in Johnston, SC.
Certificate for Provider-Performed Microscopy Procedures, effective October 8, 2025, expires October 7, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 8, 2025
- Certificate expiration
- October 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 8, 2025
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 42D2331788
- Lab name
- Self Medical Center Johnston
- Address
- 801 Mobley Street, Johnston, SC 29832
- Phone
- (803) 275-4653
- Fax
- (803) 275-1951
Annual test volume the lab reported
- Waived tests
- 1,450
- Provider-performed microscopy tests
- 500
- Total
- 1,950
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Johnston, SC
- Edgefield County School DistrictCertificate of Waiver, School or student health service42D2301460
- Edgefield Internal MedicineCertificate of Waiver, Physician office42D2260344
- Healthstat Inc On-Site ClinicCertificate of Waiver, Other42D1074056
- W Hugh Morgan M DCertificate for Provider-Performed Microscopy Procedures, Physician office42D0253796
Related
Questions
What is the CLIA number for Self Medical Center Johnston in Johnston?
42D2331788, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Self Medical Center Johnston hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 42D2331788 expire?
The CMS file lists October 7, 2027 as the certificate expiration date; the certificate took effect October 8, 2025.