34D2150619 CLIA NUMBER - CHANDLER ROAD

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Field Name	Field Value
CLIA Number	34D2150619
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	CHANDLER ROAD
Street	342 CHANDLER ROAD
City	DURHAM
State	NC
ZIP	27707
Phone	919 528-2555
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	6/28/2024
Certificate Expiration Date	6/27/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	DORENE CHAVIS

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