CLIA lab
CLIA 34D0655416: Wagram Family Practice
Wagram, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D0655416 belongs to Wagram Family Practice in Wagram, NC.
Certificate for Provider-Performed Microscopy Procedures, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 25, 1994
- Facility type
- Other practitioner
- 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
- 34D0655416
- Lab name
- Wagram Family Practice
- Address
- 24420 Marlboro Street, Wagram, NC 28396
- Phone
- (910) 369-3136
- Fax
- (910) 369-4756
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 100
- Total
- 1,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Wagram Family Practice in Wagram?
34D0655416, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wagram Family Practice hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 34D0655416 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.