CLIA lab
CLIA 34D2064901: Autumn Village Assisted Living
Beulaville, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D2064901 belongs to Autumn Village Assisted Living in Beulaville, NC.
Certificate of Waiver, effective August 29, 2025, expires August 28, 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
- August 29, 2025
- Certificate expiration
- August 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 29, 2013
- 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
- 34D2064901
- Lab name
- Autumn Village Assisted Living
- Additional name
- Affinity Living Group
- Address
- 235 North Nc Highway 41, Beulaville, NC 28518
- Phone
- (910) 298-5877
- Fax
- (910) 298-5797
Annual test volume the lab reported
- Waived tests
- 7,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Beulaville, NC
- Beulaville PediatricsCertificate of Compliance, Physician office34D0983971
- Carawan Health PLLCCertificate of Waiver, Rural health clinic34D2313683
- Goshen Medical Center - BeulavilleCertificate for Provider-Performed Microscopy Procedures, Physician office34D0245975
- Physicians East - BeulavilleCertificate for Provider-Performed Microscopy Procedures, Physician office34D1019181
- Walgreens #11893Certificate of Waiver, Pharmacy34D2039239
Related
Questions
What is the CLIA number for Autumn Village Assisted Living in Beulaville?
34D2064901, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Autumn Village Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D2064901 expire?
The CMS file lists August 28, 2027 as the certificate expiration date; the certificate took effect August 29, 2025.