34D1060416 CLIA NUMBER - EC OPCO SOUTHERN PINES, LP DBA TERRABELLA SOUTHERN PINES

Laboratory Demographics

  • CLIA Code: 34D1060416
  • Facility Name: EC OPCO SOUTHERN PINES, LP DBA TERRABELLA SOUTHERN PINES
  • Facility Address: 101 BRUCEWOOD RD
    SOUTHERN PINES, NC
    ZIP 28387
  • Facility Phone: 910 692-4928
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KRISTEN FLORENO
  • NPI Number: 1750952438
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D1060416
LAB Type Assisted Living Facility
Facility Name EC OPCO SOUTHERN PINES, LP DBA TERRABELLA SOUTHERN PINES
Street 101 BRUCEWOOD RD
City SOUTHERN PINES
State NC
ZIP 28387
Phone 910 692-4928
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Assisted Living Facility
Lab Director KRISTEN FLORENO

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