CLIA lab

CLIA 34D2104002: Novant Health Child & Adolescent Medical Group

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

CLIA number 34D2104002 belongs to Novant Health Child & Adolescent Medical Group in Waxhaw, NC.

Certificate of Compliance, effective October 5, 2025, expires October 4, 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 Compliance
Certificate effective
October 5, 2025
Certificate expiration
October 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 26, 2015
Facility type
Physician office
Ownership (control type)
Private
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
34D2104002
Lab name
Novant Health Child & Adolescent Medical Group
Address
3614 S Providence Road, Suite 101, Waxhaw, NC 28173
Phone
(704) 384-8460
Fax
(704) 384-8465

Annual test volume the lab reported

Waived tests
1,000
Other nonwaived tests
3,065
Total
4,065

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

Affiliated CLIA numbers

Other labs in Waxhaw, NC

Related

Questions

What is the CLIA number for Novant Health Child & Adolescent Medical Group in Waxhaw?

34D2104002, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Novant Health Child & Adolescent Medical Group hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 34D2104002 expire?

The CMS file lists October 4, 2027 as the certificate expiration date; the certificate took effect October 5, 2025.

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