34D2199489 CLIA NUMBER - EDEN SPRING LIVING CENTER

Laboratory Demographics

  • CLIA Code: 34D2199489
  • Facility Name: EDEN SPRING LIVING CENTER
  • Facility Address: 3812 BOOKER AVENUE
    DURHAM, NC
    ZIP 27713
  • Facility Phone: 919 544-0874
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JACKSON ODONDI
  • NPI Number: 1073866596
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2199489
LAB Type Assisted Living Facility
Facility Name EDEN SPRING LIVING CENTER
Street 3812 BOOKER AVENUE
City DURHAM
State NC
ZIP 27713
Phone 919 544-0874
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Assisted Living Facility
Lab Director JACKSON ODONDI

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