CLIA lab

CLIA 34D2017123: Providence Group Home

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

CLIA number 34D2017123 belongs to Providence Group Home in Asheboro, NC.

Certificate of Waiver, effective December 3, 2024, expires December 2, 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
December 3, 2024
Certificate expiration
December 2, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 3, 2010
Facility type
Other
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
34D2017123
Lab name
Providence Group Home
Address
941 East Salisbury Street, Asheboro, NC 27203
Phone
(336) 626-5884
Fax
(336) 626-1796

Annual test volume the lab reported

Waived tests
913

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

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Related

Questions

What is the CLIA number for Providence Group Home in Asheboro?

34D2017123, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Providence Group Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2017123 expire?

The CMS file lists December 2, 2026 as the certificate expiration date; the certificate took effect December 3, 2024.

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