CLIA lab
CLIA 34D2019473: Rich Square Villa
Rich Square, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D2019473 belongs to Rich Square Villa in Rich Square, NC.
Certificate of Waiver, effective July 11, 2025, expires July 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
- July 11, 2025
- Certificate expiration
- July 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 31, 2011
- 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
- 34D2019473
- Lab name
- Rich Square Villa
- Address
- 310 North Main Street, Rich Square, NC 27869
- Phone
- (252) 539-2011
- Fax
- (252) 539-2317
Annual test volume the lab reported
- Waived tests
- 3,692
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rich Square, NC
- Futrell PharmacyCertificate of Waiver, Pharmacy34D2183150
- Rich Square ManorCertificate of Waiver, Assisted living facility34D2019471
- Rich Square Operations, LLC DBACertificate of Waiver, Skilled nursing or nursing facility34D1062335
- Rural Health Group at Rich SquareCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center34D1061583
Related
Questions
What is the CLIA number for Rich Square Villa in Rich Square?
34D2019473, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rich Square Villa hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D2019473 expire?
The CMS file lists July 10, 2027 as the certificate expiration date; the certificate took effect July 11, 2025.