CLIA lab
CLIA 34D1012035: Atrium Health Primary Care Lake Park
Indian Trail, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D1012035 belongs to Atrium Health Primary Care Lake Park in Indian Trail, NC.
Certificate of Waiver, effective November 25, 2025, expires November 24, 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
- November 25, 2025
- Certificate expiration
- November 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 2003
- 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
- 34D1012035
- Lab name
- Atrium Health Primary Care Lake Park
- Additional name
- Family Medicine
- Address
- 6066 Hwy 74 West, Indian Trail, NC 28079
- Phone
- (704) 882-1666
- Fax
- (704) 882-2789
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Indian Trail, NC
- Afc Urgent Care - Indian TrailCertificate of Waiver, Other34D2172378
- Atrium Health - Levine Children's PediatricCertificate of Registration, Physician office34D2348240
- Atrium Health Surgery Center Indian TrailCertificate of Waiver, Ambulatory surgery center34D2019561
- CCS Express CareCertificate of Waiver, Independent34D2156776
- CPN DBA Atrium Health Primary CareCertificate of Waiver, Physician office34D1044437
- CPN Inc DBA Atrium Health Women's Care NaturalCertificate for Provider-Performed Microscopy Procedures, Physician office34D2292838
- CPN, Inc DBA Atrium Health Levine Children'sCertificate of Compliance, Physician office34D1044440
- CPN, Inc DBA Atrium Health MusculoskeletalCertificate of Waiver, Physician office34D2062789
- CPN, Inc DBA Atrium Health Primary CareCertificate of Waiver, Physician office34D0933987
- CPN, Inc DBA Atrium Health Urgent CareCertificate of Waiver, Physician office34D1044439
Related
Questions
What is the CLIA number for Atrium Health Primary Care Lake Park in Indian Trail?
34D1012035, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Atrium Health Primary Care Lake Park hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D1012035 expire?
The CMS file lists November 24, 2027 as the certificate expiration date; the certificate took effect November 25, 2025.