34D0986155 CLIA NUMBER - HILLSIDE NURSING CENTER

Laboratory Demographics

  • CLIA Code: 34D0986155
  • Facility Name: HILLSIDE NURSING CENTER
  • Facility Address: 968 WAIT AVENUE
    WAKE FOREST, NC
    ZIP 27587
  • Facility Phone: 919 556-4082
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN PISKO
  • NPI Number: 1811984925
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0986155
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HILLSIDE NURSING CENTER
Street 968 WAIT AVENUE
City WAKE FOREST
State NC
ZIP 27587
Phone 919 556-4082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOHN PISKO

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This page was last updated on: 6/4/2025