34D2064681 CLIA NUMBER - EASON COURT GROUP HOME, LLC

Laboratory Demographics

CLIA Code: 34D2064681
Facility Name: EASON COURT GROUP HOME, LLC
Facility Address: 113 EASON COURT
YOUNGSVILLE, NC
ZIP 27596
Facility Phone: 919 556-4720
Facility Type: Other - ADULT CARE HOME
Facility Type: Waiver
Lab Director: DAPHINE LLOYD FELDMAN
NPI Number: 1790861334
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2064681
LAB Type	Other - ADULT CARE HOME
Facility Name	EASON COURT GROUP HOME, LLC
Street	113 EASON COURT
City	YOUNGSVILLE
State	NC
ZIP	27596
Phone	919 556-4720
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/23/2025
Certificate Expiration Date	8/22/2027
Facility Type	Other - ADULT CARE HOME
Lab Director	DAPHINE LLOYD FELDMAN

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