CLIA lab
CLIA 34D2047890: Life, Inc-Luke ST Group Home
Edenton, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D2047890 belongs to Life, Inc-Luke ST Group Home in Edenton, NC.
Certificate of Waiver, effective October 4, 2024, expiration date October 3, 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 4, 2024
- Certificate expiration
- October 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 4, 2012
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 34D2047890
- Lab name
- Life, Inc-Luke ST Group Home
- Address
- 206 Luke St, Edenton, NC 27932
- Phone
- (919) 778-1900
- Fax
- (919) 778-2920
Annual test volume the lab reported
- Waived tests
- 96
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Edenton, NC
- Chowan County JailCertificate of Waiver, Other34D2077813
- Chowan Home DialysisCertificate of Waiver, End stage renal disease dialysis facility34D2259255
- Eastern Dermatology and Pathology, PACertificate for Provider-Performed Microscopy Procedures, Physician office34D0938068
- Eastern Nephrology AssociatesCertificate of Waiver, Physician office34D2302174
- Ecu Health Chowan Community HealthCertificate of Waiver, Health fair34D2146769
- Ecu Health Family Medicine EdentonCertificate of Waiver, Physician office34D0702368
- Ecu Health Family and Sports Medicine -Certificate of Waiver, Physician office34D1026955
- Ecu Health Immediate Care EdentonCertificate of Waiver, Physician office34D2245305
- Ecu Health Internal MedicineCertificate of Waiver, Physician office34D0242548
- Ecu Health Internal MedicineCertificate of Waiver, Physician office34D2098606
Related
Questions
What is the CLIA number for Life, Inc-Luke ST Group Home in Edenton?
34D2047890, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Life, Inc-Luke ST Group Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D2047890 expire?
The CMS file lists October 3, 2026 as the certificate expiration date; the certificate took effect October 4, 2024.