CARESOUTH CAROLINA, INC.
NPI 1780627943
Clinic/Center - Federally Qualified Health Center (FQHC) in Lake View, SC

Active since June 14, 2006CLIA 42D1009356 · Waiver
103 KEMPER STREET, LAKE VIEW, SC 29563(843) 759-2189 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Caresouth Carolina, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARESOUTH CAROLINA, INC. (NPI 1780627943) is a healthcare organization registered as a federally qualified health center (fqhc) in Lake View, South Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Ann Lewis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780627943
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCARESOUTH CAROLINA, INC.
Location Address103 KEMPER STREETLake View, SC 29563
Mailing AddressPo Box 1090Hartsville, SC 29551-1090
Organization SubpartNo
Authorized OfficialAnn LewisCeo · (843) 857-0111
Enumeration DateJune 14, 2006
Last NPPES UpdateSeptember 4, 2007
NPI 1780627943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
103 KEMPER STREET, Lake View, SC 29563

Other Identifiers 4

MedicaidCBP013SC
MedicaidFQC003SC
Medicare PIN7981SC
Medicare OSCAR/certification421879SC

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1009356

Caresouth Carolina - Lake View · Lake View, SC
Active · expires Jan 4, 2028
CLIA Number42D1009356
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorRandall M. Carlyle
Laboratory Phone(843) 759-2189
Laboratory LocationCaresouth Carolina - Lake View103 North Kemper Street PO Box 1090, Lake View, SC 29563
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caresouth Carolina, Inc.'s NPI number?

The NPI number for Caresouth Carolina, Inc. is 1780627943. It was assigned to this organization in the NPPES registry on June 14, 2006.

Where is Caresouth Carolina, Inc. located?

Caresouth Carolina, Inc. is located at 103 Kemper Street, Lake View, SC 29563. The listed phone number is (843) 759-2189.

What is Caresouth Carolina, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Caresouth Carolina, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1009356) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Caresouth Carolina, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer list Caresouth Carolina, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caresouth Carolina, Inc. was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.