34D2162101 CLIA NUMBER - DAYMARK RECOVERY FBC - IREDELL

Laboratory Demographics

  • CLIA Code: 34D2162101
  • Facility Name: DAYMARK RECOVERY FBC - IREDELL
  • Facility Address: 524 SIGNAL HILL DRIVE EXT
    STATESVILLE, NC
    ZIP 28625
  • Facility Phone: 704 871-1045
  • Facility Type: Other - FACILITY BASED CRISIS
  • Facility Type: Waiver
  • Lab Director: SHEILA RICHMOND
  • NPI Number: 1740566280
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2162101
LAB Type Other - FACILITY BASED CRISIS
Facility Name DAYMARK RECOVERY FBC - IREDELL
Street 524 SIGNAL HILL DRIVE EXT
City STATESVILLE
State NC
ZIP 28625
Phone 704 871-1045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Other - FACILITY BASED CRISIS
Lab Director SHEILA RICHMOND

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