34D2146537 CLIA NUMBER - PHOENIX ASSISTED CARE

Laboratory Demographics

  • CLIA Code: 34D2146537
  • Facility Name: PHOENIX ASSISTED CARE
  • Facility Address: 201 WESTHIGH STREET
    CARY, NC
    ZIP 27513
  • Facility Phone: 919 460-8644
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. STEPHANIE E. RICKARD
  • NPI Number: 1437356557
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2146537
LAB Type Assisted Living Facility
Facility Name PHOENIX ASSISTED CARE
Street 201 WESTHIGH STREET
City CARY
State NC
ZIP 27513
Phone 919 460-8644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Assisted Living Facility
Lab Director MS. STEPHANIE E. RICKARD

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