CLIA lab
CLIA 34D0862411: Penick Village, Inc
Southern Pines, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D0862411 belongs to Penick Village, Inc in Southern Pines, NC.
Certificate of Waiver, 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 of Waiver
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 24, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Religious affiliation
- 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
- 34D0862411
- Lab name
- Penick Village, Inc
- Address
- 401 East Rhode Island Avenue, Southern Pines, NC 28387
- Phone
- (910) 692-0300
Annual test volume the lab reported
- Waived tests
- 385
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Penick VillageCMS Care Compare ratings for the facility at the same street address
Other labs in Southern Pines, NC
- Carolina Eye AssociatesCertificate of Waiver, Physician office34D0245573
- Cary Skin Center at PinehurstCertificate of Compliance, Physician office34D1074714
- CoventryCertificate of Waiver, Assisted living facility34D2024368
- Ec Opco Southern Pines, LP DBACertificate of Waiver, Assisted living facility34D1060416
- Firsthealth Convenient Care - Southern PinesCertificate of Waiver, Other34D2225756
- Firsthealth Primary Care Southern PinesCertificate of Waiver, Physician office34D2223942
- Fortified Med, PLLCCertificate of Waiver, Physician office34D2296826
- Infuzen, PLLCCertificate of Waiver, Other practitioner34D2318070
- Integrated Pain Solutions, PLLCCertificate of Accreditation, Independent34D2044421
- Kidzcare Pediatricss, PCCertificate of Waiver, Physician office34D0990433
Related
Questions
What is the CLIA number for Penick Village, Inc in Southern Pines?
34D0862411, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Penick Village, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D0862411 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.