CLIA lab
CLIA 34D0964035: Ah Wake Forest Baptist Pediatrics- Ford
Winston-salem, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D0964035 belongs to Ah Wake Forest Baptist Pediatrics- Ford in Winston-salem, NC.
Certificate of Waiver, effective October 2, 2026, expires October 1, 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
- October 2, 2026
- Certificate expiration
- October 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 18, 1999
- 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
- 34D0964035
- Lab name
- Ah Wake Forest Baptist Pediatrics- Ford
- Additional name
- Simpson Lively & Rice
- Address
- 2933 Maplewood Ave, Winston-salem, NC 27103
- Phone
- (336) 794-3380
- Fax
- (336) 794-3378
Annual test volume the lab reported
- Waived tests
- 7,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Ah Wake Forest Baptist Pediatrics- Ford in Winston-salem?
34D0964035, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ah Wake Forest Baptist Pediatrics- Ford hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D0964035 expire?
The CMS file lists October 1, 2028 as the certificate expiration date; the certificate took effect October 2, 2026.