34D2206321 CLIA NUMBER - HEAVENLY PLACE LLC

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CLIA Record

Field Name Field Value
CLIA Number 34D2206321
LAB Type Other - MENTAL HEALTH FACILITY
Facility Name HEAVENLY PLACE LLC
Street 8600 NEUSE HUNTER ROAD
City RALEIGH
State NC
ZIP 27616
Phone 919 819-3882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Other - MENTAL HEALTH FACILITY
Lab Director JAMES ABE

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