CLIA lab
CLIA 34D1073881: Victory Junction Gang Camp
Randleman, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D1073881 belongs to Victory Junction Gang Camp in Randleman, NC.
Certificate of Waiver, effective September 19, 2025, expires September 18, 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
- September 19, 2025
- Certificate expiration
- September 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 19, 2007
- Facility type
- Other
- 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
- 34D1073881
- Lab name
- Victory Junction Gang Camp
- Address
- 4500 Adam's Way, Randleman, NC 27317
- Phone
- (336) 495-2015
- Fax
- (336) 495-2045
Annual test volume the lab reported
- Waived tests
- 100
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
- Pine Haven Family Medicine PACertificate of Waiver, Physician office34D1041720
- Randleman Medical Center PLLCCertificate of Waiver, Physician office34D2041705
- Walmart Pharmacy 10-2704Certificate of Waiver, Pharmacy34D2139152
- White Oak Urgent Care RandlemanCertificate of Waiver, Other34D0990794
Related
Questions
What is the CLIA number for Victory Junction Gang Camp in Randleman?
34D1073881, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Victory Junction Gang Camp hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D1073881 expire?
The CMS file lists September 18, 2027 as the certificate expiration date; the certificate took effect September 19, 2025.