CLIA lab

CLIA 34D2155105: Premise Health of North Carolina Medical, PC

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

CLIA number 34D2155105 belongs to Premise Health of North Carolina Medical, PC in Clayton, NC.

Certificate of Waiver, effective September 24, 2026, expires September 23, 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
September 24, 2026
Certificate expiration
September 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 24, 2018
Facility type
Physician office
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
34D2155105
Lab name
Premise Health of North Carolina Medical, PC
Address
3612 Powhatan Road, Clayton, NC 27527
Phone
(919) 550-2200
Fax
(919) 359-2529

Annual test volume the lab reported

Waived tests
200

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 Premise Health of North Carolina Medical, PC in Clayton?

34D2155105, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Premise Health of North Carolina Medical, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2155105 expire?

The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.

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