CLIA lab
CLIA 34D1041720: Pine Haven Family Medicine PA
Randleman, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D1041720 belongs to Pine Haven Family Medicine PA in Randleman, NC.
Certificate of Waiver, effective January 31, 2025, expires January 30, 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 31, 2025
- Certificate expiration
- January 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 10, 2005
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 34D1041720
- Lab name
- Pine Haven Family Medicine PA
- Address
- 604 West Academy St, Randleman, NC 27317
- Phone
- (336) 498-1200
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Central Piedmont Urgent CareCertificate of Registration, Physician office34D2186382
- Forest ParkCertificate of Waiver, Other34D2016267
- North Carolina CVS Pharmacy, LLC DBACertificate of Waiver, Pharmacy34D2282753
- North Pointe Assisted LivingCertificate of Waiver, Assisted living facility34D2112029
- Randleman Medical Center PLLCCertificate of Waiver, Physician office34D2041705
- Victory Junction Gang CampCertificate of Waiver, Other34D1073881
- Walmart Pharmacy 10-2704Certificate of Waiver, Pharmacy34D2139152
- White Oak Urgent Care RandlemanCertificate of Waiver, Other34D0990794
Related
Questions
What is the CLIA number for Pine Haven Family Medicine PA in Randleman?
34D1041720, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pine Haven Family Medicine PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D1041720 expire?
The CMS file lists January 30, 2027 as the certificate expiration date; the certificate took effect January 31, 2025.