CLIA lab

CLIA 34D2177639: Ec Opco Southport, LP DBA

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

CLIA number 34D2177639 belongs to Ec Opco Southport, LP DBA in Southport, NC.

Certificate of Waiver, effective January 15, 2026, expires January 14, 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
January 15, 2026
Certificate expiration
January 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 15, 2020
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
34D2177639
Lab name
Ec Opco Southport, LP DBA
Additional name
Terrabella Southport
Address
1125 E Leonard Street, Southport, NC 28461
Phone
(910) 454-4001
Fax
(910) 454-4114

Annual test volume the lab reported

Waived tests
100

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 Ec Opco Southport, LP DBA in Southport?

34D2177639, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ec Opco Southport, LP DBA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2177639 expire?

The CMS file lists January 14, 2028 as the certificate expiration date; the certificate took effect January 15, 2026.

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