CLIA lab

CLIA 34D2349926: Providence Pediatric Functional Medicine, PLLC

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

CLIA number 34D2349926 belongs to Providence Pediatric Functional Medicine, PLLC in Asheboro, NC.

Certificate of Waiver, effective August 31, 2026, expires August 30, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 31, 2026
Certificate expiration
August 30, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 31, 2026
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
34D2349926
Lab name
Providence Pediatric Functional Medicine, PLLC
Address
610 N Fayetteville Street Suite 102, Asheboro, NC 27203
Phone
(336) 233-7882

Annual test volume the lab reported

Waived tests
4,000

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

Other labs in Asheboro, NC

Related

Questions

What is the CLIA number for Providence Pediatric Functional Medicine, PLLC in Asheboro?

34D2349926, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Providence Pediatric Functional Medicine, PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2349926 expire?

The CMS file lists August 30, 2028 as the certificate expiration date; the certificate took effect August 31, 2026.

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