34D2206960 CLIA NUMBER - ALPHA HOME CARE SERVICES IN

Laboratory Demographics

CLIA Code: 34D2206960
Facility Name: ALPHA HOME CARE SERVICES IN
Facility Address: 105 OAKWOOD DRIVE
WAKE FOREST, NC
ZIP 27587
Facility Phone: 984 232-8882
Facility Type: Other - MENTAL HEALTH
Facility Type: Waiver
Lab Director: ABE JAMES
NPI Number: 1518238849
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2206960
LAB Type	Other - MENTAL HEALTH
Facility Name	ALPHA HOME CARE SERVICES IN
Street	105 OAKWOOD DRIVE
City	WAKE FOREST
State	NC
ZIP	27587
Phone	984 232-8882
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/23/2024
Certificate Expiration Date	12/22/2026
Facility Type	Other - MENTAL HEALTH
Lab Director	ABE JAMES

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