34D2149457 CLIA NUMBER - MEBANE RIDGE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 34D2149457
  • Facility Name: MEBANE RIDGE ASSISTED LIVING
  • Facility Address: 1999 HIGHWAY 119 SOUTH
    MEBANE, NC
    ZIP 27302
  • Facility Phone: 919 568-0083
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JILLIAN L. MCMINN
  • NPI Number: 1770964702
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2149457
LAB Type Assisted Living Facility
Facility Name MEBANE RIDGE ASSISTED LIVING
Street 1999 HIGHWAY 119 SOUTH
City MEBANE
State NC
ZIP 27302
Phone 919 568-0083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Assisted Living Facility
Lab Director JILLIAN L. MCMINN

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