34D1057066 CLIA NUMBER - AMEDISYS NORTH CAROLINA, LLC, DBA AMEDISYS HOME HEALTH OF FAYETTEVILLE

Laboratory Demographics

  • CLIA Code: 34D1057066
  • Facility Name: AMEDISYS NORTH CAROLINA, LLC, DBA AMEDISYS HOME HEALTH OF FAYETTEVILLE
  • Facility Address: 2021 VALLEY GATE DRIVE, SUITE 201
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 910 483-8153
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DONNA MASSIE
  • NPI Number: 1548205487
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 34D1057066
LAB Type Home Health Agency
Facility Name AMEDISYS NORTH CAROLINA, LLC, DBA AMEDISYS HOME HEALTH OF FAYETTEVILLE
Street 2021 VALLEY GATE DRIVE, SUITE 201
City FAYETTEVILLE
State NC
ZIP 28304
Phone 910 483-8153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Home Health Agency
Lab Director DONNA MASSIE

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