CLIA lab
CLIA 34D0720954: Park Avenue Pediatrics, PA
Roanoke Rapids, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D0720954 belongs to Park Avenue Pediatrics, PA in Roanoke Rapids, NC.
Certificate of Waiver, effective April 1, 2026, expires March 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 of Waiver
- Certificate effective
- April 1, 2026
- Certificate expiration
- March 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 7, 1993
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 34D0720954
- Lab name
- Park Avenue Pediatrics, PA
- Address
- 529 Becker Drive, Roanoke Rapids, NC 27870
- Phone
- (252) 537-6465
- Fax
- (252) 535-0951
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Related
Questions
What is the CLIA number for Park Avenue Pediatrics, PA in Roanoke Rapids?
34D0720954, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Avenue Pediatrics, PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D0720954 expire?
The CMS file lists March 31, 2028 as the certificate expiration date; the certificate took effect April 1, 2026.