CLIA lab
CLIA 34D1012190: Jacksonville Diagnotic Imaging LLC DB Coastal
Jacksonville, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D1012190 belongs to Jacksonville Diagnotic Imaging LLC DB Coastal in Jacksonville, NC.
Certificate of Waiver, effective November 4, 2024, expires November 3, 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 4, 2024
- Certificate expiration
- November 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 5, 2003
- Facility type
- Other
- 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
- 34D1012190
- Lab name
- Jacksonville Diagnotic Imaging LLC DB Coastal
- Additional name
- Diagnostic Imaging
- Address
- 3606 Henderson Drive, Jacksonville, NC 28546
- Phone
- (910) 937-7226
- Fax
- (910) 937-0064
Annual test volume the lab reported
- Waived tests
- 450
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arcpoint Labs of JacksonvilleCertificate of Waiver, Independent34D2215111
- Avid Health at HomeCertificate of Waiver, Home health agency34D2304802
- BPC Plasma, Inc - JacksonvilleCertificate of Accreditation, Other34D0884120
- BPC Plasma, Inc - JacksonvilleCertificate of Accreditation, Other34D2089937
- Brynn Marr HospitalCertificate of Waiver, Hospital34D0907826
- Brynn Marr VA ClinicCertificate of Accreditation, Community clinic34D2084543
Related
Questions
What is the CLIA number for Jacksonville Diagnotic Imaging LLC DB Coastal in Jacksonville?
34D1012190, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jacksonville Diagnotic Imaging LLC DB Coastal hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D1012190 expire?
The CMS file lists November 3, 2026 as the certificate expiration date; the certificate took effect November 4, 2024.