CLIA lab
CLIA 34D2285665: Proactive MD - Brakebush Mocksville
Mocksville, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D2285665 belongs to Proactive MD - Brakebush Mocksville in Mocksville, NC.
Certificate of Waiver, effective July 17, 2025, expires July 16, 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 17, 2025
- Certificate expiration
- July 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 17, 2023
- Facility type
- Other practitioner
- 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
- 34D2285665
- Lab name
- Proactive MD - Brakebush Mocksville
- Address
- 251 Eaton Rd, Mocksville, NC 27028
- Phone
- (828) 548-0848
- Fax
- (833) 464-4698
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mocksville, NC
- A Storehouse for Jesus Medical MinistryCertificate of Waiver, Community clinic34D1068672
- Ahoh Primary Care Family Medicine Urgent CareCertificate of Waiver, Physician office34D2235453
- Atrium Health Wake Forest Baptist PediatricsCertificate of Waiver, Physician office34D1029180
- Carolina Quickcare- MocksvileCertificate of Waiver, Other34D2276005
- Davie County Detention CenterCertificate of Waiver, Other34D1049699
- Davie County Emergency ServicesCertificate of Waiver, Mobile lab34D0713945
- Davie County Health and Human ServicesCertificate for Provider-Performed Microscopy Procedures, Public health laboratory34D0237100
- Davie County SchoolsCertificate of Waiver, School or student health service34D2095714
- Davie Kidney Center of Wake Forest UniversityCertificate of Waiver, End stage renal disease dialysis facility34D2004455
- Davie Nursing and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility34D0671696
Related
Questions
What is the CLIA number for Proactive MD - Brakebush Mocksville in Mocksville?
34D2285665, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Proactive MD - Brakebush Mocksville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D2285665 expire?
The CMS file lists July 16, 2027 as the certificate expiration date; the certificate took effect July 17, 2025.