CLIA lab
CLIA 34D2149405: Mallard Ridge Assisted Living
Clemmons, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D2149405 belongs to Mallard Ridge Assisted Living in Clemmons, NC.
Certificate of Waiver, effective June 4, 2026, expires June 3, 2028.
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
- June 4, 2026
- Certificate expiration
- June 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 4, 2018
- 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
- 34D2149405
- Lab name
- Mallard Ridge Assisted Living
- Address
- 9420 N Nc Highway 150, Clemmons, NC 27012
- Phone
- (336) 775-2205
- Fax
- (336) 775-2207
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Atrium Health One Health Family Medicine ClemmonsCertificate for Provider-Performed Microscopy Procedures, Physician office34D2225705
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- Atrium Health Wake Forest Baptist Pain ServicesCertificate of Waiver, Physician office34D2179086
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Related
Questions
What is the CLIA number for Mallard Ridge Assisted Living in Clemmons?
34D2149405, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mallard Ridge Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D2149405 expire?
The CMS file lists June 3, 2028 as the certificate expiration date; the certificate took effect June 4, 2026.