CLIA lab
CLIA 34D0877495: Powell's Medical Clinic
Roseboro, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D0877495 belongs to Powell's Medical Clinic in Roseboro, NC.
Certificate of Waiver, effective October 24, 2024, expiration date October 23, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 24, 2024
- Certificate expiration
- October 23, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 4, 1993
- Facility type
- Community clinic
- 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
- 34D0877495
- Lab name
- Powell's Medical Clinic
- Address
- 201 West Clinton St, Roseboro, NC 28382
- Phone
- (919) 525-4062
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Carolina Kidney Care PACertificate for Provider-Performed Microscopy Procedures, Physician office34D2088089
- FMC - Roseboro DialysisCertificate of Waiver, End stage renal disease dialysis facility34D2013966
- Gardens of Roseboro, theCertificate of Waiver, Assisted living facility34D2142775
- Pec Optometry Group, PACertificate of Waiver, Physician office34D2122898
- Sampson Medical Group of RoseboroCertificate for Provider-Performed Microscopy Procedures, Physician office34D1042430
- Walgreens # 16168Certificate of Waiver, Pharmacy34D2231926
Related
Questions
What is the CLIA number for Powell's Medical Clinic in Roseboro?
34D0877495, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Powell's Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D0877495 expire?
The CMS file lists October 23, 2026 as the certificate expiration date; the certificate took effect October 24, 2024.