34D2018831 CLIA NUMBER - PINECREST GARDENS

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Laboratory Demographics

CLIA Number: 34D2018831

Facility Name: PINECREST GARDENS

Facility Address:
1984 OLD US 421
LILLINGTON, NC
ZIP 27546
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Facility Phone Number: 910 893-2766

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1215122072

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	34D2018831
LAB Type	Assisted Living Facility
Facility Name	PINECREST GARDENS
Street	1984 OLD US 421
City	LILLINGTON
State	NC
ZIP	27546
Phone	910 893-2766
CertificateType	4
CertificateEffectiveDate	1/14/2023
CertificateExpirationDate	1/13/2025
FacilityType	Waiver

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