CLIA lab

CLIA 34D2122378: Life, Inc - Coke Avenue Group Home

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

CLIA number 34D2122378 belongs to Life, Inc - Coke Avenue Group Home in Edenton, NC.

Certificate of Waiver, effective November 28, 2024, expires November 27, 2026.

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
November 28, 2024
Certificate expiration
November 27, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 28, 2016
Facility type
Intermediate care facility for individuals with intellectual disabilities
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
34D2122378
Lab name
Life, Inc - Coke Avenue Group Home
Address
255 Coke Avenue, Edenton, NC 27932
Phone
(252) 482-8121
Fax
(252) 482-8881

Annual test volume the lab reported

Waived tests
365

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 Life, Inc - Coke Avenue Group Home in Edenton?

34D2122378, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Life, Inc - Coke Avenue Group Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2122378 expire?

The CMS file lists November 27, 2026 as the certificate expiration date; the certificate took effect November 28, 2024.

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