34D2199079 CLIA NUMBER - STRUCTURE HOUSE, LLC A FACILITY OF ACADIA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 34D2199079
  • Facility Name: STRUCTURE HOUSE, LLC A FACILITY OF ACADIA HEALTHCARE
  • Facility Address: 3017 PICKETT ROAD
    DURHAM, NC
    ZIP 27705
  • Facility Phone: 919 493-4205
  • Facility Type: Other - WEIGHT LOSS FACILITY
  • Facility Type: Waiver
  • Lab Director: KATIE A. RICKEL
  • NPI Number: 1578742284
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2199079
LAB Type Other - WEIGHT LOSS FACILITY
Facility Name STRUCTURE HOUSE, LLC A FACILITY OF ACADIA HEALTHCARE
Street 3017 PICKETT ROAD
City DURHAM
State NC
ZIP 27705
Phone 919 493-4205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Other - WEIGHT LOSS FACILITY
Lab Director KATIE A. RICKEL

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