CLIA lab
CLIA 34D2017300: Clemmons Village I
Clemmons, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D2017300 belongs to Clemmons Village I in Clemmons, NC.
Certificate of Waiver, effective December 8, 2024, expires December 7, 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 8, 2024
- Certificate expiration
- December 7, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 8, 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
- 34D2017300
- Lab name
- Clemmons Village I
- Address
- 6401 Holder Road, Clemmons, NC 27012
- Phone
- (336) 766-2990
- Fax
- (336) 766-2138
Annual test volume the lab reported
- Waived tests
- 2,190
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Clemmons, NC
- Ahwfb Breast Care Services- CiemmonsCertificate of Waiver, Physician office34D2251418
- Ahwfb Hematology and Oncology - ClemmonsCertificate of Waiver, Physician office34D2223993
- Ahwfb Pediatrics - ClemmonsCertificate of Waiver, Physician office34D2232212
- Ahwfb Urgent Care - ClemmonsCertificate of Waiver, Physician office34D2223964
- Atrium Health One Health Family Medicine ClemmonsCertificate for Provider-Performed Microscopy Procedures, Physician office34D2225705
- Atrium Health WFB Medical Plaza - ClemmonsCertificate of Compliance, Physician office34D2043323
- Atrium Health Wake Forest Baptist Pain ServicesCertificate of Waiver, Physician office34D2179086
- Atriumhealth Primary Care One HealthCertificate of Waiver, Physician office34D2246549
- Clemmons Road Operating Company, LLCCertificate of Waiver, Skilled nursing or nursing facility34D0237025
- Clemmons Urgent & Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office34D1025051
Related
Questions
What is the CLIA number for Clemmons Village I in Clemmons?
34D2017300, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clemmons Village I hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D2017300 expire?
The CMS file lists December 7, 2026 as the certificate expiration date; the certificate took effect December 8, 2024.