34D2204548 CLIA NUMBER - TRANQUILITY CARE

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Laboratory Demographics

CLIA Number: 34D2204548

Facility Name: TRANQUILITY CARE

Facility Address:
5100 LANSING DRIVE
WINSTON-SALEM, NC
ZIP 27105
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Facility Phone Number: 336 244-9820

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1700319001

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	34D2204548
LAB Type	Assisted Living Facility
Facility Name	TRANQUILITY CARE
Street	5100 LANSING DRIVE
City	WINSTON-SALEM
State	NC
ZIP	27105
Phone	336 244-9820
CertificateType	4
CertificateEffectiveDate	12/9/2022
CertificateExpirationDate	12/8/2024
FacilityType	Waiver

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