34D2055696 CLIA NUMBER - MCDANIEL HOME #3

Laboratory Demographics

  • CLIA Code: 34D2055696
  • Facility Name: MCDANIEL HOME #3
  • Facility Address: 1790 MCGHEE MILL RD
    ROXBORO, NC
    ZIP 27574
  • Facility Phone: 336 599-1073
  • Facility Type: Other - GROUP HOME
  • Facility Type: Waiver
  • Lab Director: PEGGY DAVIS-MCDANIEL
  • NPI Number: 1295114098
  • Taxonomy: 261QD1600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2055696
LAB Type Other - GROUP HOME
Facility Name MCDANIEL HOME #3
Street 1790 MCGHEE MILL RD
City ROXBORO
State NC
ZIP 27574
Phone 336 599-1073
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Other - GROUP HOME
Lab Director PEGGY DAVIS-MCDANIEL

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