34D2021898 CLIA NUMBER - GRACELAND LIVING CENTER BLDG #1

Laboratory Demographics

  • CLIA Code: 34D2021898
  • Facility Name: GRACELAND LIVING CENTER BLDG #1
  • Facility Address: 1290 DENNY ROAD
    KING, NC
    ZIP 27021
  • Facility Phone: 336 983-2976
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LEBBY CARMEN
  • NPI Number: 1669557344
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2021898
LAB Type Assisted Living Facility
Facility Name GRACELAND LIVING CENTER BLDG #1
Street 1290 DENNY ROAD
City KING
State NC
ZIP 27021
Phone 336 983-2976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Assisted Living Facility
Lab Director LEBBY CARMEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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