34D2205855 CLIA NUMBER - DAYSPRING OF WALLACE

Laboratory Demographics

  • CLIA Code: 34D2205855
  • Facility Name: DAYSPRING OF WALLACE
  • Facility Address: 4026 S NC 11
    WALLACE, NC
    ZIP 28466
  • Facility Phone: 910 285-9050
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HEATHER A. CULLIFER
  • NPI Number: 1619193471
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2205855
LAB Type Assisted Living Facility
Facility Name DAYSPRING OF WALLACE
Street 4026 S NC 11
City WALLACE
State NC
ZIP 28466
Phone 910 285-9050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Assisted Living Facility
Lab Director HEATHER A. CULLIFER

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