CLIA lab

CLIA 34D2017166: Carolina Rest Home

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

CLIA number 34D2017166 belongs to Carolina Rest Home in Roanoke Rapids, NC.

Certificate of Waiver, effective December 6, 2024, expires December 5, 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 6, 2024
Certificate expiration
December 5, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 6, 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
34D2017166
Lab name
Carolina Rest Home
Address
1361 Carolina Rest Home Road, Roanoke Rapids, NC 27870
Phone
(252) 533-0014
Fax
(252) 533-0020

Annual test volume the lab reported

Waived tests
9,490

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

Other labs in Roanoke Rapids, NC

Related

Questions

What is the CLIA number for Carolina Rest Home in Roanoke Rapids?

34D2017166, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Carolina Rest Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2017166 expire?

The CMS file lists December 5, 2026 as the certificate expiration date; the certificate took effect December 6, 2024.

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