34D2197872 CLIA NUMBER - INTEGRITY PATVIOT LIVING

Laboratory Demographics

  • CLIA Code: 34D2197872
  • Facility Name: INTEGRITY PATVIOT LIVING
  • Facility Address: 409 HARRISON AVENUE
    YADKINVILLE, NC
    ZIP 27055
  • Facility Phone: 336 679-8671
  • Facility Type: Other - ASSISTED LIVING
  • Facility Type: Waiver
  • Lab Director: JAMIE SPARKS-SHELTON
  • NPI Number: 1871035469
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2197872
LAB Type Other - ASSISTED LIVING
Facility Name INTEGRITY PATVIOT LIVING
Street 409 HARRISON AVENUE
City YADKINVILLE
State NC
ZIP 27055
Phone 336 679-8671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Other - ASSISTED LIVING
Lab Director JAMIE SPARKS-SHELTON

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