CLIA lab
CLIA 34D2308480: Fayetteville Street Community Living Home #4
Eden, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 34D2308480 belongs to Fayetteville Street Community Living Home #4 in Eden, NC.
Certificate of Waiver, effective July 30, 2026, expires July 29, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 30, 2026
- Certificate expiration
- July 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 30, 2024
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 34D2308480
- Lab name
- Fayetteville Street Community Living Home #4
- Address
- 517 Cedar Street, Eden, NC 27288
- Phone
- (919) 401-8564
- Fax
- (919) 401-8567
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 Eden, NC
- Beavers Dermatology & Skin Surgery PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office34D2022070
- Brian Center Health & Rehabilitation/EdenCertificate of Waiver, Skilled nursing or nursing facility34D0238362
- Brookdale EdenCertificate of Waiver, Assisted living facility34D2017663
- Carolina Quickcare - EdenCertificate of Waiver, Other34D2289924
- Cone Health Heart Care at Eden A DepartmentCertificate of Waiver, Other34D1014583
- Dayspring Family MedicineCertificate of Accreditation, Physician office34D0238350
- Dialysis Care of Rockingham CountyCertificate of Waiver, End stage renal disease dialysis facility34D0669844
- Eden ChiropracticCertificate of Waiver, Other practitioner34D2176928
- Eden Drug, IncCertificate of Waiver, Pharmacy34D2182328
- Eden Internal Medicine PLLCCertificate of Waiver, Physician office34D0238368
Related
Questions
What is the CLIA number for Fayetteville Street Community Living Home #4 in Eden?
34D2308480, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fayetteville Street Community Living Home #4 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 34D2308480 expire?
The CMS file lists July 29, 2028 as the certificate expiration date; the certificate took effect July 30, 2026.