34D1096468 CLIA NUMBER - SNH SE BURLINGTON TENANT LLC DBA HOME PLACE OF BURLINGTON

Laboratory Demographics

CLIA Number: 34D1096468

Facility Name: SNH SE BURLINGTON TENANT LLC DBA HOME PLACE OF BURLINGTON

Facility Address:
118 ALAMANCE ROAD
BURLINGTON, NC
ZIP 27215
Get Directions

Facility Phone Number: 336 227-2328

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1992083109

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	34D1096468
LAB Type	Assisted Living Facility
Facility Name	SNH SE BURLINGTON TENANT LLC DBA HOME PLACE OF BURLINGTON
Street	118 ALAMANCE ROAD
City	BURLINGTON
State	NC
ZIP	27215
Phone	336 227-2328
CertificateType	4
CertificateEffectiveDate	3/5/2023
CertificateExpirationDate	3/4/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024