34D2121060 CLIA NUMBER - KD SUPPORT SERVICES

Laboratory Demographics

CLIA Code: 34D2121060
Facility Name: KD SUPPORT SERVICES
Facility Address: 158 US HIGHWAY 221-1A
FOREST CITY, NC
ZIP 28043
Facility Phone: 828 245-4011
Facility Type: Other - GROUP HOMES
Facility Type: Waiver
Lab Director: KENNETH D. DELLINGER
NPI Number: 1609235696
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2121060
LAB Type	Other - GROUP HOMES
Facility Name	KD SUPPORT SERVICES
Street	158 US HIGHWAY 221-1A
City	FOREST CITY
State	NC
ZIP	28043
Phone	828 245-4011
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/28/2024
Certificate Expiration Date	10/27/2026
Facility Type	Other - GROUP HOMES
Lab Director	KENNETH D. DELLINGER

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