CLIA lab
CLIA 34D0954419: Tesfaye D Fanta MD
Reidsville, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D0954419 belongs to Tesfaye D Fanta MD in Reidsville, NC.
Certificate of Waiver, effective November 25, 2024, expires November 24, 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 of Waiver
- Certificate effective
- November 25, 2024
- Certificate expiration
- November 24, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 25, 1998
- Facility type
- Physician office
- 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
- 34D0954419
- Lab name
- Tesfaye D Fanta MD
- Address
- 910 West Harrison St, Reidsville, NC 27320
- Phone
- (336) 342-9564
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.
Other labs in Reidsville, NC
- Adoration Home HealthCertificate of Waiver, Home health agency34D2211357
- Annie Penn HospitalCertificate of Accreditation, Hospital34D0238568
- Annie Penn HospitalCertificate of Waiver, Hospital34D0910938
- Belmont PharmacyCertificate of Waiver, Pharmacy34D0953562
- Bma of Rockingham CountyCertificate of Waiver, End stage renal disease dialysis facility34D1028831
- Brightview, LLC - Reidsville OfficeCertificate of Waiver, Physician office34D2279733
- Brookdale ReidsvilleCertificate of Waiver, Assisted living facility34D2017859
- Carebridge Partners Services, PLLCCertificate of Waiver, Other34D2317673
- Carolina Apothecary IncCertificate of Waiver, Pharmacy34D0953530
- Carolina Quickcare - ReidsvilleCertificate of Waiver, Other34D2289927
Related
Questions
What is the CLIA number for Tesfaye D Fanta MD in Reidsville?
34D0954419, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tesfaye D Fanta MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D0954419 expire?
The CMS file lists November 24, 2026 as the certificate expiration date; the certificate took effect November 25, 2024.