CLIA lab

CLIA 34D2122912: Life, Inc Dda Group Home - Luke Street

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

CLIA number 34D2122912 belongs to Life, Inc Dda Group Home - Luke Street in Edenton, NC.

Certificate of Waiver, effective December 8, 2024, expires December 7, 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
December 8, 2024
Certificate expiration
December 7, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 8, 2016
Facility type
Other
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
34D2122912
Lab name
Life, Inc Dda Group Home - Luke Street
Address
200 Luke Street, Edenton, NC 27932
Phone
(252) 462-8746
Fax
(252) 482-2703

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 Dda Group Home - Luke Street in Edenton?

34D2122912, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Life, Inc Dda Group Home - Luke Street hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2122912 expire?

The CMS file lists December 7, 2026 as the certificate expiration date; the certificate took effect December 8, 2024.

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