34D0711965 CLIA NUMBER - BRIAN CENTER HEALTH & RETIREMENT / WALLACE

Laboratory Demographics

  • CLIA Code: 34D0711965
  • Facility Name: BRIAN CENTER HEALTH & RETIREMENT / WALLACE
  • Facility Address: 647 SE RAILROAD STREET ATTENTION ACCOUNTS PAYABLE
    WALLACE, NC
    ZIP 28466
  • Facility Phone: 919 285-6646
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL G. RALLIS
  • NPI Number: 1609996552
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0711965
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRIAN CENTER HEALTH & RETIREMENT / WALLACE
Street 647 SE RAILROAD STREET ATTENTION ACCOUNTS PAYABLE
City WALLACE
State NC
ZIP 28466
Phone 919 285-6646
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 MICHAEL G. RALLIS

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