34D2160162 CLIA NUMBER - JOHNSON CENTER II

Laboratory Demographics

CLIA Code: 34D2160162
Facility Name: JOHNSON CENTER II
Facility Address: 111 TAYLOR STREET
RED SPRINGS, NC
ZIP 28377
Facility Phone: 910 527-7162
Facility Type: Independent
Facility Type: Waiver
Lab Director: SHEILA A. FERGUSON
NPI Number: 1245418052
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	34D2160162
LAB Type	Independent
Facility Name	JOHNSON CENTER II
Street	111 TAYLOR STREET
City	RED SPRINGS
State	NC
ZIP	28377
Phone	910 527-7162
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/7/2025
Certificate Expiration Date	1/6/2027
Facility Type	Independent
Lab Director	SHEILA A. FERGUSON

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