CLIA lab
CLIA 34D2194543: Publix Pharmacy #1704
Waxhaw, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D2194543 belongs to Publix Pharmacy #1704 in Waxhaw, NC.
Certificate of Waiver, effective October 1, 2024, expiration date September 30, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 1, 2024
- Certificate expiration
- September 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 1, 2020
- Facility type
- Pharmacy
- 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
- 34D2194543
- Lab name
- Publix Pharmacy #1704
- Address
- 1615 Providence Road South, Waxhaw, NC 28173
- Phone
- (863) 688-1188
- Fax
- (863) 413-5712
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Atrium Health Waxhaw EdCertificate of Waiver, Other34D2056744
- Atrium Health Waxhaw Emergency DepartmentCertificate of Accreditation, Other34D2033318
- CPN, Inc DBA Atrium Health Women's CareCertificate for Provider-Performed Microscopy Procedures, Physician office34D2032303
- CPN, Inc, DBA Atrium Health Primary CareCertificate of Compliance, Physician office34D0992586
- Dermatology Laser & Vein SpecialistCertificate of Registration, Physician office34D2320295
- Harris Teeter #182Certificate of Waiver, Other34D2100998
- Help Pregnancy Center - MarvinCertificate of Waiver, Independent34D2304276
- Jaars Health ServicesCertificate of Compliance, Other34D0931261
- Minuteclinic Diagnostic of North Carolina PC #5341Certificate of Waiver, Other34D1046226
Related
Questions
What is the CLIA number for Publix Pharmacy #1704 in Waxhaw?
34D2194543, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Publix Pharmacy #1704 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D2194543 expire?
The CMS file lists September 30, 2026 as the certificate expiration date; the certificate took effect October 1, 2024.