34D2149669 CLIA NUMBER - PRIDDY MANOR ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 34D2149669
  • Facility Name: PRIDDY MANOR ASSISTED LIVING
  • Facility Address: 1294 PRIDDY ROAD
    KING, NC
    ZIP 27021
  • Facility Phone: 336 983-3068
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTY S. BOWER
  • NPI Number: 1134250293
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2149669
LAB Type Assisted Living Facility
Facility Name PRIDDY MANOR ASSISTED LIVING
Street 1294 PRIDDY ROAD
City KING
State NC
ZIP 27021
Phone 336 983-3068
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Assisted Living Facility
Lab Director CHRISTY S. BOWER

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