34D2150620 CLIA NUMBER - MINERAL SPRING II

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Field Name	Field Value
CLIA Number	34D2150620
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	MINERAL SPRING II
Street	410 MINERAL SPRING ROAD
City	DURHAM
State	NC
ZIP	27703
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