34D2144713 CLIA NUMBER - A CARING HEART INDEPENDENCE CENTER - JACKSONVLLE #2

Laboratory Demographics

  • CLIA Code: 34D2144713
  • Facility Name: A CARING HEART INDEPENDENCE CENTER - JACKSONVLLE #2
  • Facility Address: 180 COASTAL LANE
    JACKSONVILLE, NC
    ZIP 28546
  • Facility Phone: 910 455-6724
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ERIN MAIRS
  • NPI Number: 1447300058
  • Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services

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CLIA Record

Field Name Field Value
CLIA Number 34D2144713
LAB Type Home Health Agency
Facility Name A CARING HEART INDEPENDENCE CENTER - JACKSONVLLE #2
Street 180 COASTAL LANE
City JACKSONVILLE
State NC
ZIP 28546
Phone 910 455-6724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Home Health Agency
Lab Director ERIN MAIRS

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