34D2229103 CLIA NUMBER - THE LANDINGS OF CHESTNUT GROVE

Laboratory Demographics

  • CLIA Code: 34D2229103
  • Facility Name: THE LANDINGS OF CHESTNUT GROVE
  • Facility Address: 158 CHESTNUT GROVE CHURCH ROAD
    SPARTA, NC
    ZIP 28675
  • Facility Phone: 336 640-1081
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEBRA RICHARDSON
  • NPI Number: 1265008577
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2229103
LAB Type Assisted Living Facility
Facility Name THE LANDINGS OF CHESTNUT GROVE
Street 158 CHESTNUT GROVE CHURCH ROAD
City SPARTA
State NC
ZIP 28675
Phone 336 640-1081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Assisted Living Facility
Lab Director DEBRA RICHARDSON

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