34D2151124 CLIA NUMBER - CAROLINA RESERVE OF DURHAM

Laboratory Demographics

  • CLIA Code: 34D2151124
  • Facility Name: CAROLINA RESERVE OF DURHAM
  • Facility Address: 4523 HOPE VALLEY ROAD
    DURHAM, NC
    ZIP 27707
  • Facility Phone: 919 403-0055
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER J. KING
  • NPI Number: 1518110139
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 34D2151124
LAB Type Assisted Living Facility
Facility Name CAROLINA RESERVE OF DURHAM
Street 4523 HOPE VALLEY ROAD
City DURHAM
State NC
ZIP 27707
Phone 919 403-0055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Assisted Living Facility
Lab Director JENNIFER J. KING

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