CLIA lab

CLIA 34D2229634: Three Forks Home

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

CLIA number 34D2229634 belongs to Three Forks Home in Zionville, NC.

Certificate of Waiver, effective July 14, 2025, expires July 13, 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 14, 2025
Certificate expiration
July 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 14, 2021
Facility type
Intermediate care facility for individuals with intellectual disabilities
Ownership (control type)
Private
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
34D2229634
Lab name
Three Forks Home
Address
392 Camp Joy Rd, Zionville, NC 28698
Phone
(828) 297-8004

Annual test volume the lab reported

Waived tests
80

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 Three Forks Home in Zionville?

34D2229634, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Three Forks Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2229634 expire?

The CMS file lists July 13, 2027 as the certificate expiration date; the certificate took effect July 14, 2025.

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