CLIA lab

CLIA 34D2326292: Lake Life DPC, PLLC

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

CLIA number 34D2326292 belongs to Lake Life DPC, PLLC in Cornelius, NC.

Certificate of Waiver, effective July 1, 2025, expires June 30, 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 1, 2025
Certificate expiration
June 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 1, 2025
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
34D2326292
Lab name
Lake Life DPC, PLLC
Address
17830 Statesville Rd Suite 215, Cornelius, NC 28031
Phone
(980) 351-4676
Fax
(980) 247-9914

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Cornelius, NC

Related

Questions

What is the CLIA number for Lake Life DPC, PLLC in Cornelius?

34D2326292, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake Life DPC, PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2326292 expire?

The CMS file lists June 30, 2027 as the certificate expiration date; the certificate took effect July 1, 2025.

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