34D2139316 CLIA NUMBER - LIFE NET SERVICES

Laboratory Demographics

  • CLIA Code: 34D2139316
  • Facility Name: LIFE NET SERVICES
  • Facility Address: 1014 HAY STREET
    FAYETTEVILLE, NC
    ZIP 28305
  • Facility Phone: 910 745-8895
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALICIA D. CABBAGESTALK
  • NPI Number: 1700538733
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 34D2139316
LAB Type Physician Office
Facility Name LIFE NET SERVICES
Street 1014 HAY STREET
City FAYETTEVILLE
State NC
ZIP 28305
Phone 910 745-8895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director ALICIA D. CABBAGESTALK

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