34D2175129 CLIA NUMBER - FOCUS FAMILY CARE HOME

Laboratory Demographics

CLIA Number: 34D2175129

Facility Name: FOCUS FAMILY CARE HOME

Facility Address:
1020 E STAGECOACH TRAIL
LAWNDALE, NC
ZIP 28090
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Facility Phone Number: 704 538-3052

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1568975985

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	34D2175129
LAB Type	Assisted Living Facility
Facility Name	FOCUS FAMILY CARE HOME
Street	1020 E STAGECOACH TRAIL
City	LAWNDALE
State	NC
ZIP	28090
Phone	704 538-3052
CertificateType	4
CertificateEffectiveDate	11/15/2023
CertificateExpirationDate	11/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024