34D2019420 CLIA NUMBER - THE CANTERBURY HOUSE

Laboratory Demographics

  • CLIA Code: 34D2019420
  • Facility Name: THE CANTERBURY HOUSE
  • Facility Address: 1284 LEASBURG ROAD
    ROXBORO, NC
    ZIP 27574
  • Facility Phone: 336 330-0108
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GERALDINE YANCEY
  • NPI Number: 1871822841
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2019420
LAB Type Assisted Living Facility
Facility Name THE CANTERBURY HOUSE
Street 1284 LEASBURG ROAD
City ROXBORO
State NC
ZIP 27574
Phone 336 330-0108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Assisted Living Facility
Lab Director GERALDINE YANCEY

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