34D0673153 CLIA NUMBER - VILLAGE CARE OF KING

Laboratory Demographics

  • CLIA Code: 34D0673153
  • Facility Name: VILLAGE CARE OF KING
  • Facility Address: 440 INGRAM DRIVE ATTENTION AMY MUSICK
    KING, NC
    ZIP 27021
  • Facility Phone: 336 983-4900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE CORELY
  • NPI Number: 1417933615
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0673153
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VILLAGE CARE OF KING
Street 440 INGRAM DRIVE ATTENTION AMY MUSICK
City KING
State NC
ZIP 27021
Phone 336 983-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHELLE CORELY

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This page was last updated on: 9/29/2025