CLIA lab
CLIA 34D2016300: Autumn Home Care of Johnston Co Inc
Selma, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D2016300 belongs to Autumn Home Care of Johnston Co Inc in Selma, NC.
Certificate of Waiver, effective November 16, 2024, expires November 15, 2026.
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
- November 16, 2024
- Certificate expiration
- November 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 16, 2010
- Facility type
- Assisted living facility
- 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
- 34D2016300
- Lab name
- Autumn Home Care of Johnston Co Inc
- Address
- 474 Jerry Road, Selma, NC 27576
- Phone
- (919) 965-3455
- Fax
- (919) 965-3455
Annual test volume the lab reported
- Waived tests
- 3,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Selma, NC
Related
Questions
What is the CLIA number for Autumn Home Care of Johnston Co Inc in Selma?
34D2016300, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Autumn Home Care of Johnston Co Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D2016300 expire?
The CMS file lists November 15, 2026 as the certificate expiration date; the certificate took effect November 16, 2024.