34D2005913 CLIA NUMBER - PLANTATION VILLAGE HOME CARE

Laboratory Demographics

  • CLIA Code: 34D2005913
  • Facility Name: PLANTATION VILLAGE HOME CARE
  • Facility Address: 1200 PORTERS NECK ROAD
    WILMINGTON, NC
    ZIP 28411
  • Facility Phone: 910 772-3187
  • Facility Type: Other - HOME CARE
  • Facility Type: Waiver
  • Lab Director: ALYSSA THOMPSON
  • NPI Number: 1629216577
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 34D2005913
LAB Type Other - HOME CARE
Facility Name PLANTATION VILLAGE HOME CARE
Street 1200 PORTERS NECK ROAD
City WILMINGTON
State NC
ZIP 28411
Phone 910 772-3187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Other - HOME CARE
Lab Director ALYSSA THOMPSON

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