34D2232144 CLIA NUMBER - SANFORD SENIOR LIVING

Laboratory Demographics

CLIA Number: 34D2232144

Facility Name: SANFORD SENIOR LIVING

Facility Address:
1107 CARTHAGE STREET
SANFORD, NC
ZIP 27330
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Facility Phone Number: 919 774-3774

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1730713751

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	34D2232144
LAB Type	Assisted Living Facility
Facility Name	SANFORD SENIOR LIVING
Street	1107 CARTHAGE STREET
City	SANFORD
State	NC
ZIP	27330
Phone	919 774-3774
CertificateType	4
CertificateEffectiveDate	8/10/2023
CertificateExpirationDate	8/9/2025
FacilityType	Waiver

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