34D2062057 CLIA NUMBER - PATTERSON HOME CARE, INC

Laboratory Demographics

CLIA Code: 34D2062057
Facility Name: PATTERSON HOME CARE, INC
Facility Address: 6331 RANNOCK DR
FAYETTEVILLE, NC
ZIP 28314
Facility Phone: 910 527-8427
Facility Type: Other - DDA GROUP HOME
Facility Type: Waiver
Lab Director: CHARLOTTE PATTERSON
NPI Number: 1780719286
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2062057
LAB Type	Other - DDA GROUP HOME
Facility Name	PATTERSON HOME CARE, INC
Street	6331 RANNOCK DR
City	FAYETTEVILLE
State	NC
ZIP	28314
Phone	910 527-8427
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	7/10/2025
Certificate Expiration Date	7/9/2027
Facility Type	Other - DDA GROUP HOME
Lab Director	CHARLOTTE PATTERSON

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