CLIA lab

CLIA 34D1104002: Knightdale Family Medicine

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

CLIA number 34D1104002 belongs to Knightdale Family Medicine in Knightdale, NC.

Certificate of Waiver, effective August 24, 2025, expires August 23, 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 24, 2025
Certificate expiration
August 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 24, 2009
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
34D1104002
Lab name
Knightdale Family Medicine
Address
6905 Knightdale Boulevard, Suite 106, Attn Andrea, Knightdale, NC 27545
Phone
(919) 261-8760
Fax
(919) 261-8765

Annual test volume the lab reported

Waived tests
3,000

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

Other labs in Knightdale, NC

Related

Questions

What is the CLIA number for Knightdale Family Medicine in Knightdale?

34D1104002, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Knightdale Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D1104002 expire?

The CMS file lists August 23, 2027 as the certificate expiration date; the certificate took effect August 24, 2025.

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