CLIA lab

CLIA 34D2169830: Fayetteville Street Community

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

CLIA number 34D2169830 belongs to Fayetteville Street Community in Eden, NC.

Certificate of Waiver, effective July 29, 2025, expires July 28, 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 Waiver
Certificate effective
July 29, 2025
Certificate expiration
July 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 29, 2019
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
34D2169830
Lab name
Fayetteville Street Community
Additional name
Living Home Center, LLC
Address
855 Morgan Road, Eden, NC 27288
Phone
(336) 627-3810
Fax
(336) 627-3129

Annual test volume the lab reported

Waived tests
2,000

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

Other labs in Eden, NC

Related

Questions

What is the CLIA number for Fayetteville Street Community in Eden?

34D2169830, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fayetteville Street Community hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2169830 expire?

The CMS file lists July 28, 2027 as the certificate expiration date; the certificate took effect July 29, 2025.

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