34D2064682 CLIA NUMBER - EASON COURT GROUP HOME LLC

Laboratory Demographics

CLIA Code: 34D2064682
Facility Name: EASON COURT GROUP HOME LLC
Facility Address: 124 GREGORY MANOR
YOUNGSVILLE, NC
ZIP 27596
Facility Phone: 919 556-5355
Facility Type: Other - ADULT CARE HOME
Facility Type: Waiver
Lab Director: DAPHINE LLOYD-FELDMAN
NPI Number: 1003353475
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	34D2064682
LAB Type	Other - ADULT CARE HOME
Facility Name	EASON COURT GROUP HOME LLC
Street	124 GREGORY MANOR
City	YOUNGSVILLE
State	NC
ZIP	27596
Phone	919 556-5355
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