34D2052398 CLIA NUMBER - AMBLESIDE, INC

Laboratory Demographics

  • CLIA Code: 34D2052398
  • Facility Name: AMBLESIDE, INC
  • Facility Address: ONE INDUSTRIAL DRIVE
    SNOW HILL, NC
    ZIP 28580
  • Facility Phone: 252 747-5252
  • Facility Type: Other - LICENSED GROUP HOME
  • Facility Type: Waiver
  • Lab Director: LATOYA T. JOHNSON
  • NPI Number: 1467573915
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 34D2052398
LAB Type Other - LICENSED GROUP HOME
Facility Name AMBLESIDE, INC
Street ONE INDUSTRIAL DRIVE
City SNOW HILL
State NC
ZIP 28580
Phone 252 747-5252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Other - LICENSED GROUP HOME
Lab Director LATOYA T. JOHNSON

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