34D2047795 CLIA NUMBER - GREENSBORO GROUP HOME

Laboratory Demographics

  • CLIA Code: 34D2047795
  • Facility Name: GREENSBORO GROUP HOME
  • Facility Address: 4809 HILLTOP ROAD
    GREENSBORO, NC
    ZIP 27407
  • Facility Phone: 336 294-2621
  • Facility Type: Other - GROUP HOME
  • Facility Type: Waiver
  • Lab Director: KELLEY WEEKLEY
  • NPI Number: 1114697117
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 34D2047795
LAB Type Other - GROUP HOME
Facility Name GREENSBORO GROUP HOME
Street 4809 HILLTOP ROAD
City GREENSBORO
State NC
ZIP 27407
Phone 336 294-2621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Other - GROUP HOME
Lab Director KELLEY WEEKLEY

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