34D2130387 CLIA NUMBER - COMMUNITY BASED DEVELOPMENT SERVICES

Laboratory Demographics

  • CLIA Code: 34D2130387
  • Facility Name: COMMUNITY BASED DEVELOPMENT SERVICES
  • Facility Address: 3274 ROSEHILL ROAD
    FAYETTEVILLE, NC
    ZIP 28301
  • Facility Phone: (910) 488-5820
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. CARROLL
  • NPI Number: 1306121645
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2130387
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COMMUNITY BASED DEVELOPMENT SERVICES
Street 3274 ROSEHILL ROAD
City FAYETTEVILLE
State NC
ZIP 28301
Phone 9104885820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL A. CARROLL

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This page was last updated on: 5/18/2026