CLIA lab

CLIA 34D0982187: Jacksonville Childrens Clinic, PA Annex

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

CLIA number 34D0982187 belongs to Jacksonville Childrens Clinic, PA Annex in Jacksonville, NC.

Certificate of Waiver, effective January 6, 2025, expires January 5, 2027.

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
January 6, 2025
Certificate expiration
January 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 18, 2001
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
34D0982187
Lab name
Jacksonville Childrens Clinic, PA Annex
Address
120 Memorial Drive, Jacksonville, NC 28546
Phone
(910) 353-3389
Fax
(910) 353-1351

Annual test volume the lab reported

Waived tests
5,000

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 Jacksonville Childrens Clinic, PA Annex in Jacksonville?

34D0982187, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jacksonville Childrens Clinic, PA Annex hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D0982187 expire?

The CMS file lists January 5, 2027 as the certificate expiration date; the certificate took effect January 6, 2025.

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