34D2033798 CLIA NUMBER - HILLTOP HOME INC

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CLIA Record

Field Name Field Value
CLIA Number 34D2033798
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name HILLTOP HOME INC
Street 2820 KIDD ROAD
City RALEIGH
State NC
ZIP 27610
Phone 919 231-8315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director DIANE P. VAN HUSEN

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