CLIA lab

CLIA 34D2021505: Brookdale Peachtree Assisted Living

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

CLIA number 34D2021505 belongs to Brookdale Peachtree Assisted Living in Statesville, NC.

Certificate of Waiver, effective March 15, 2025, expires March 14, 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
March 15, 2025
Certificate expiration
March 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 15, 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
34D2021505
Lab name
Brookdale Peachtree Assisted Living
Address
2806 Peachtree Road, Statesville, NC 28625
Phone
(704) 872-1946
Fax
(704) 872-1992

Annual test volume the lab reported

Waived tests
2,548

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

Other labs in Statesville, NC

Related

Questions

What is the CLIA number for Brookdale Peachtree Assisted Living in Statesville?

34D2021505, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brookdale Peachtree Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2021505 expire?

The CMS file lists March 14, 2027 as the certificate expiration date; the certificate took effect March 15, 2025.

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