CLIA lab

CLIA 34D1016444: Shore Fun Pediatrics

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

CLIA number 34D1016444 belongs to Shore Fun Pediatrics in Supply, NC.

Certificate of Waiver, effective August 28, 2025, expires August 27, 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
August 28, 2025
Certificate expiration
August 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 28, 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
34D1016444
Lab name
Shore Fun Pediatrics
Address
14 Doctors Circle Ste 3, Supply, NC 28462
Phone
(910) 754-7075
Fax
(910) 754-2158

Annual test volume the lab reported

Waived tests
1,300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Supply, NC

Related

Questions

What is the CLIA number for Shore Fun Pediatrics in Supply?

34D1016444, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Shore Fun Pediatrics hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D1016444 expire?

The CMS file lists August 27, 2027 as the certificate expiration date; the certificate took effect August 28, 2025.

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