CLIA lab

CLIA 34D0894096: South Granville Primary Care

Creedmoor, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 34D0894096 belongs to South Granville Primary Care in Creedmoor, NC.

Certificate for Provider-Performed Microscopy Procedures, effective November 7, 2024, expires November 6, 2026.

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
November 7, 2024
Certificate expiration
November 6, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 7, 1994
Facility type
Physician office
Ownership (control type)
Government, county
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
34D0894096
Lab name
South Granville Primary Care
Address
1614 Hwy 56, Creedmoor, NC 27522
Phone
(919) 575-6103
Fax
(919) 515-6817

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Creedmoor, NC

Related

Questions

What is the CLIA number for South Granville Primary Care in Creedmoor?

34D0894096, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does South Granville Primary Care hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 34D0894096 expire?

The CMS file lists November 6, 2026 as the certificate expiration date; the certificate took effect November 7, 2024.

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