34D2010788 CLIA NUMBER - CHATHAM COMMONS

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Laboratory Demographics

CLIA Number: 34D2010788

Facility Name: CHATHAM COMMONS

Facility Address:
809 W CHATHAM ST
CARY, NC
ZIP 27511
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Facility Phone Number: 919 469-9309

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1003205964

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	34D2010788
LAB Type	Assisted Living Facility
Facility Name	CHATHAM COMMONS
Street	809 W CHATHAM ST
City	CARY
State	NC
ZIP	27511
Phone	919 469-9309
CertificateType	4
CertificateEffectiveDate	11/24/2022
CertificateExpirationDate	11/23/2024
FacilityType	Waiver

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