CLIA lab
CLIA 34D1072196: Summit Plastic Surgery & Dermatology
Supply, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D1072196 belongs to Summit Plastic Surgery & Dermatology in Supply, NC.
Certificate of Compliance, effective September 23, 2025, expires September 22, 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 Compliance
- Certificate effective
- September 23, 2025
- Certificate expiration
- September 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 10, 2007
- 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
- 34D1072196
- Lab name
- Summit Plastic Surgery & Dermatology
- Address
- 58 Physicians Drive NW, Suite 103, Supply, NC 28462
- Phone
- (910) 794-5355
- Fax
- (910) 755-5111
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 1,000
- Other nonwaived tests
- 1,000
- Total
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Supply, NC
- Atlantic Internal Medicine PACertificate of Waiver, Physician office34D0245990
- Avid Health at HomeCertificate of Waiver, Home health agency34D2349333
- Beach Primary Care and Wellness, PLLCCertificate of Waiver, Other practitioner34D2328806
- Brunswick Cardiology PCCertificate of Waiver, Physician office34D1050261
- Brunswick County VA OutreachCertificate of Accreditation, Community clinic34D2041434
- Coastal Carolinas Integrated MedicineCertificate of Waiver, Physician office34D2139750
- Eastern Nephrology AssociatesCertificate of Waiver, Physician office34D2091677
- Fresenius Medical Care Brunswick CountyCertificate of Waiver, End stage renal disease dialysis facility34D2038803
- Galloway Sands PharmacyCertificate of Waiver, Pharmacy34D2198657
- Liberty Home Care, LLC - SupplyCertificate of Waiver, Home health agency34D0246039
Related
Questions
What is the CLIA number for Summit Plastic Surgery & Dermatology in Supply?
34D1072196, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Summit Plastic Surgery & Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 34D1072196 expire?
The CMS file lists September 22, 2027 as the certificate expiration date; the certificate took effect September 23, 2025.