34D2072937 CLIA NUMBER - MCDANIEL HOME #2

Laboratory Demographics

CLIA Code: 34D2072937
Facility Name: MCDANIEL HOME #2
Facility Address: 3830 MCGHEES MILLS ROAD
ROXBORO, NC
ZIP 27574
Facility Phone: 336 599-1073
Facility Type: Other - GROUP HOME
Facility Type: Waiver
Lab Director: PEGGY DAVIS-MCDANIEL
NPI Number: 1144669409
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2072937
LAB Type	Other - GROUP HOME
Facility Name	MCDANIEL HOME #2
Street	3830 MCGHEES MILLS ROAD
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	2/7/2024
Certificate Expiration Date	2/6/2026
Facility Type	Other - GROUP HOME
Lab Director	PEGGY DAVIS-MCDANIEL

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