CLIA lab

CLIA 42D2341194: Upstate Primary Care Medicine LLC

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

CLIA number 42D2341194 belongs to Upstate Primary Care Medicine LLC in Powdersville, SC.

Certificate for Provider-Performed Microscopy Procedures, effective March 30, 2026, expires March 29, 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 for Provider-Performed Microscopy Procedures
Certificate effective
March 30, 2026
Certificate expiration
March 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 30, 2026
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
42D2341194
Lab name
Upstate Primary Care Medicine LLC
Address
810 Powdersville Road Suite B, Powdersville, SC 29642
Phone
(864) 551-2764
Fax
(864) 307-9322

Annual test volume the lab reported

Waived tests
500
Provider-performed microscopy tests
500
Total
1,000

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

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Related

Questions

What is the CLIA number for Upstate Primary Care Medicine LLC in Powdersville?

42D2341194, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Upstate Primary Care Medicine LLC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 42D2341194 expire?

The CMS file lists March 29, 2028 as the certificate expiration date; the certificate took effect March 30, 2026.

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