34D2177625 CLIA NUMBER - SOUTHEASTERN COMMUNITY SUPPORT CENTER

Laboratory Demographics

  • CLIA Code: 34D2177625
  • Facility Name: SOUTHEASTERN COMMUNITY SUPPORT CENTER
  • Facility Address: 80 ALLIANCE DRIVE
    WHITEVILLE, NC
    ZIP 28472
  • Facility Phone: 910 642-5697
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARIE MERRITT
  • NPI Number: 1871810341
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2177625
LAB Type Assisted Living Facility
Facility Name SOUTHEASTERN COMMUNITY SUPPORT CENTER
Street 80 ALLIANCE DRIVE
City WHITEVILLE
State NC
ZIP 28472
Phone 910 642-5697
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Assisted Living Facility
Lab Director MARIE MERRITT

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