34D2062994 CLIA NUMBER - ST MARKS MANOR

Laboratory Demographics

  • CLIA Code: 34D2062994
  • Facility Name: ST MARKS MANOR
  • Facility Address: 3735 HERITAGE MEADOW LANE
    HOLLY SPRINGS, NC
    ZIP 27540
  • Facility Phone: 919 363-5312
  • Facility Type: Other - GROUP HOME
  • Facility Type: Waiver
  • Lab Director: HERBERT REID
  • NPI Number: 1629125109
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 34D2062994
LAB Type Other - GROUP HOME
Facility Name ST MARKS MANOR
Street 3735 HERITAGE MEADOW LANE
City HOLLY SPRINGS
State NC
ZIP 27540
Phone 919 363-5312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Other - GROUP HOME
Lab Director HERBERT REID

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