CLIA lab

CLIA 34D2021701: Brookdale Skeet Club

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

CLIA number 34D2021701 belongs to Brookdale Skeet Club in High Point, NC.

Certificate of Waiver, effective October 15, 2024, expiration date October 14, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
October 15, 2024
Certificate expiration
October 14, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
March 18, 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
34D2021701
Lab name
Brookdale Skeet Club
Address
1560 Skeet Club Road, High Point, NC 27265
Phone
(336) 869-0301
Fax
(336) 869-0252

Annual test volume the lab reported

Waived tests
800

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

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Related

Questions

What is the CLIA number for Brookdale Skeet Club in High Point?

34D2021701, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brookdale Skeet Club hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2021701 expire?

The CMS file lists October 14, 2026 as the certificate expiration date; the certificate took effect October 15, 2024.

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