CLIA lab
CLIA 34D2236790: Cape Fear Valley Legacy Pediatrics
Spring Lake, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D2236790 belongs to Cape Fear Valley Legacy Pediatrics in Spring Lake, NC.
Certificate of Waiver, effective September 20, 2025, expires September 19, 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
- September 20, 2025
- Certificate expiration
- September 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 20, 2021
- 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
- 34D2236790
- Lab name
- Cape Fear Valley Legacy Pediatrics
- Address
- 1095 N Bragg Blvd Ste 104, Spring Lake, NC 28390
- Phone
- (910) 339-6015
- Fax
- (910) 339-6017
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Spring Lake, NC
- Anderson Creek Club Charter School IncCertificate of Waiver, School or student health service34D2204560
- Anderson Creek Medical CenterCertificate of Waiver, Community clinic34D0709476
- Kidzcare Pediatrics, PCCertificate of Waiver, Physician office34D2008863
- Maria Medical CenterCertificate of Waiver, Physician office34D1106162
- Naveed Aziz MD PACertificate for Provider-Performed Microscopy Procedures, Physician office34D0954454
- Walgreens #11693Certificate of Waiver, Pharmacy34D2041605
- Walmart Pharmacy 10-1312Certificate of Waiver, Pharmacy34D2139117
Related
Questions
What is the CLIA number for Cape Fear Valley Legacy Pediatrics in Spring Lake?
34D2236790, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cape Fear Valley Legacy Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D2236790 expire?
The CMS file lists September 19, 2027 as the certificate expiration date; the certificate took effect September 20, 2025.