34D2132477 CLIA NUMBER - LILLIES PLACE 2

Laboratory Demographics

CLIA Number: 34D2132477

Facility Name: LILLIES PLACE 2

Facility Address:
121 HAZEL DRIVE
BURLINGTON, NC
ZIP 27215
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Facility Phone Number: 336 350-4866

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1851831937

Taxonomy: 261QM0850X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CLIA Record

Field Name	Field Value
CLIA Number	34D2132477
LAB Type	Assisted Living Facility
Facility Name	LILLIES PLACE 2
Street	121 HAZEL DRIVE
City	BURLINGTON
State	NC
ZIP	27215
Phone	336 350-4866
CertificateType	4
CertificateEffectiveDate	6/20/2023
CertificateExpirationDate	6/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024