CLIA lab

CLIA 42D2340863: Phoenix Pharmacy LLC

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

CLIA number 42D2340863 belongs to Phoenix Pharmacy LLC in Mount Pleasant, SC.

Certificate of Waiver, effective March 24, 2026, expires March 23, 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
March 24, 2026
Certificate expiration
March 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 24, 2026
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
42D2340863
Lab name
Phoenix Pharmacy LLC
Address
1204 Hospital Drive Suite 102, Mount Pleasant, SC 29464
Phone
(854) 238-4499
Fax
(854) 238-4477

Annual test volume the lab reported

Waived tests
100

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

Other labs in Mount Pleasant, SC

Related

Questions

What is the CLIA number for Phoenix Pharmacy LLC in Mount Pleasant?

42D2340863, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Phoenix Pharmacy LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2340863 expire?

The CMS file lists March 23, 2028 as the certificate expiration date; the certificate took effect March 24, 2026.

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