34D2141473 CLIA NUMBER - HEAVEN SENT GROUP HOME

Laboratory Demographics

  • CLIA Code: 34D2141473
  • Facility Name: HEAVEN SENT GROUP HOME
  • Facility Address: 3209 WINFIELD COURT
    RALEIGH, NC
    ZIP 27610
  • Facility Phone: 919 900-8081
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TERMAINE A. MOORE
  • NPI Number: 1013243583
  • Taxonomy: 261QM0850X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2141473
LAB Type Home Health Agency
Facility Name HEAVEN SENT GROUP HOME
Street 3209 WINFIELD COURT
City RALEIGH
State NC
ZIP 27610
Phone 919 900-8081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Home Health Agency
Lab Director TERMAINE A. MOORE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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