34D2112892 CLIA NUMBER - LILLIES PLACE

Laboratory Demographics

  • CLIA Code: 34D2112892
  • Facility Name: LILLIES PLACE
  • Facility Address: 1804 HARRIS DRIVE
    BURLINGTON, NC
    ZIP 27217
  • Facility Phone: 336 222-9424
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CHERRY S. CRISP
  • NPI Number: 1699944397
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2112892
LAB Type Assisted Living Facility
Facility Name LILLIES PLACE
Street 1804 HARRIS DRIVE
City BURLINGTON
State NC
ZIP 27217
Phone 336 222-9424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Assisted Living Facility
Lab Director CHERRY S. CRISP

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