34D2017962 CLIA NUMBER - FIELDS FOUNDATIONS INC FAMILY CARE HOME

Laboratory Demographics

  • CLIA Code: 34D2017962
  • Facility Name: FIELDS FOUNDATIONS INC FAMILY CARE HOME
  • Facility Address: 1057 LAND - FIELDS LANE
    WILLIAMSTON, NC
    ZIP 27892
  • Facility Phone: 252 792-6343
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHIRLEY FIELDS
  • NPI Number: 1669510905
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2017962
LAB Type Assisted Living Facility
Facility Name FIELDS FOUNDATIONS INC FAMILY CARE HOME
Street 1057 LAND - FIELDS LANE
City WILLIAMSTON
State NC
ZIP 27892
Phone 252 792-6343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Assisted Living Facility
Lab Director SHIRLEY FIELDS

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