34D2017669 CLIA NUMBER - GRANVILLE HOUSE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 34D2017669
  • Facility Name: GRANVILLE HOUSE ASSISTED LIVING
  • Facility Address: 200 COVENTRY DRIVE
    OXFORD, NC
    ZIP 27565
  • Facility Phone: 919 692-1315
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NICOLE ADAMS
  • NPI Number: 1780225748
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2017669
LAB Type Assisted Living Facility
Facility Name GRANVILLE HOUSE ASSISTED LIVING
Street 200 COVENTRY DRIVE
City OXFORD
State NC
ZIP 27565
Phone 919 692-1315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Assisted Living Facility
Lab Director NICOLE ADAMS

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