CLIA lab
CLIA 34D1047231: Goshen Medical Center - Wallace
Wallace, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D1047231 belongs to Goshen Medical Center - Wallace in Wallace, NC.
Certificate of Waiver, effective July 13, 2025, expires July 12, 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
- July 13, 2025
- Certificate expiration
- July 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 31, 2005
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 34D1047231
- Lab name
- Goshen Medical Center - Wallace
- Address
- 110 Eastwood Drive, Wallace, NC 28466
- Phone
- (910) 285-2330
- Fax
- (910) 267-8995
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Wallace, NC
- Brian Center Health & Retirement / WallaceCertificate of Waiver, Skilled nursing or nursing facility34D0711965
- Carolina Quickcare- WallaceCertificate of Waiver, Other34D2299936
- Daniel M Ricci MD PACertificate for Provider-Performed Microscopy Procedures, Physician office34D0693011
- Dayspring of WallaceCertificate of Waiver, Assisted living facility34D2205855
- Ecu Health Family Medicine - WallaceCertificate for Provider-Performed Microscopy Procedures, Physician office34D0246053
- Focused Addiction Recovery LLCCertificate of Waiver, Comprehensive outpatient rehab facility34D2276085
- Kidzcare Pediatrics, PCCertificate of Waiver, Physician office34D2142887
- Realo Discount Drug Stores of Eastern NC, IncCertificate of Waiver, Pharmacy34D2093892
- Urgent Care of WallaceCertificate of Waiver, Physician office34D2198522
- Walgreens #10088Certificate of Waiver, Pharmacy34D2039270
Related
Questions
What is the CLIA number for Goshen Medical Center - Wallace in Wallace?
34D1047231, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Goshen Medical Center - Wallace hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D1047231 expire?
The CMS file lists July 12, 2027 as the certificate expiration date; the certificate took effect July 13, 2025.