34D2112919 CLIA NUMBER - SAMPSON COUNTY HOME TRAINING

Laboratory Demographics

  • CLIA Code: 34D2112919
  • Facility Name: SAMPSON COUNTY HOME TRAINING
  • Facility Address: 331 NORTH BOULEVARD
    CLINTON, NC
    ZIP 28328
  • Facility Phone: 910 590-2777
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AJAY I. SHREENATH
  • NPI Number: 1962860288
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2112919
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SAMPSON COUNTY HOME TRAINING
Street 331 NORTH BOULEVARD
City CLINTON
State NC
ZIP 28328
Phone 910 590-2777
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 End Stage Renal Disease Dialysis Facility
Lab Director AJAY I. SHREENATH

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