CLIA lab

CLIA 34D2018636: Holly Springs SR Citizens Home

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

CLIA number 34D2018636 belongs to Holly Springs SR Citizens Home in Rutherfordton, NC.

Certificate of Waiver, effective January 11, 2025, expires January 10, 2027.

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
January 11, 2025
Certificate expiration
January 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 11, 2011
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
34D2018636
Lab name
Holly Springs SR Citizens Home
Address
1881 Big Island Road, Rutherfordton, NC 28139
Phone
(828) 245-7781
Fax
(828) 247-0107

Annual test volume the lab reported

Waived tests
1,500

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

Other labs in Rutherfordton, NC

Related

Questions

What is the CLIA number for Holly Springs SR Citizens Home in Rutherfordton?

34D2018636, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Holly Springs SR Citizens Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2018636 expire?

The CMS file lists January 10, 2027 as the certificate expiration date; the certificate took effect January 11, 2025.

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