34D2020200 CLIA NUMBER - CHESTERFIELD FAMILY CARE HOME

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Laboratory Demographics

CLIA Number: 34D2020200

Facility Name: CHESTERFIELD FAMILY CARE HOME

Facility Address:
2630 PAX HILL ROAD
MORGANTON, NC
ZIP 28655
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Facility Phone Number: 828 437-5164

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1568124303

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	34D2020200
LAB Type	Assisted Living Facility
Facility Name	CHESTERFIELD FAMILY CARE HOME
Street	2630 PAX HILL ROAD
City	MORGANTON
State	NC
ZIP	28655
Phone	828 437-5164
CertificateType	4
CertificateEffectiveDate	2/15/2023
CertificateExpirationDate	2/14/2025
FacilityType	Waiver

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