CLIA lab
CLIA 34D2017454: Lsa Elms at Tanglewood Inc
Clemmons, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D2017454 belongs to Lsa Elms at Tanglewood Inc in Clemmons, NC.
Certificate of Waiver, effective December 13, 2024, expires December 12, 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 13, 2024
- Certificate expiration
- December 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 13, 2010
- Facility type
- Assisted living facility
- Ownership (control type)
- Religious affiliation
- 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
- 34D2017454
- Lab name
- Lsa Elms at Tanglewood Inc
- Additional name
- DBA Elms at Tanglewood Inc
- Address
- 3750 Harper Rd, Clemmons, NC 27012
- Phone
- (336) 766-2131
- Fax
- (336) 766-2160
Annual test volume the lab reported
- Waived tests
- 2,555
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Atrium Health One Health Family Medicine ClemmonsCertificate for Provider-Performed Microscopy Procedures, Physician office34D2225705
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Related
Questions
What is the CLIA number for Lsa Elms at Tanglewood Inc in Clemmons?
34D2017454, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lsa Elms at Tanglewood Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D2017454 expire?
The CMS file lists December 12, 2026 as the certificate expiration date; the certificate took effect December 13, 2024.