34D1001066 CLIA NUMBER - FOUR SEASONS ELIZABETH HOUSE

Laboratory Demographics

  • CLIA Code: 34D1001066
  • Facility Name: FOUR SEASONS ELIZABETH HOUSE
  • Facility Address: 571 S. ALLEN RD
    FLAT ROCK, NC
    ZIP 28731
  • Facility Phone: 828 692-6178
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. RUTH M. THOMSON
  • NPI Number: 1386783397
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1001066
LAB Type Hospice
Facility Name FOUR SEASONS ELIZABETH HOUSE
Street 571 S. ALLEN RD
City FLAT ROCK
State NC
ZIP 28731
Phone 828 692-6178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Hospice
Lab Director DR. RUTH M. THOMSON

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