34D2048163 CLIA NUMBER - RALEIGH GROUP HOME

Laboratory Demographics

  • CLIA Code: 34D2048163
  • Facility Name: RALEIGH GROUP HOME
  • Facility Address: 1529 BEN LLOYD DRIVE
    RALEIGH, NC
    ZIP 27604
  • Facility Phone: 919 856-9547
  • Facility Type: Other - GROUP HOME
  • Facility Type: Waiver
  • Lab Director: KELLEY WEEKLEY
  • NPI Number: 1124475892
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2048163
LAB Type Other - GROUP HOME
Facility Name RALEIGH GROUP HOME
Street 1529 BEN LLOYD DRIVE
City RALEIGH
State NC
ZIP 27604
Phone 919 856-9547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Other - GROUP HOME
Lab Director KELLEY WEEKLEY

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