34D2234760 CLIA NUMBER - GASTON RESIDENTIAL SERVICES, INC

Laboratory Demographics

  • CLIA Code: 34D2234760
  • Facility Name: GASTON RESIDENTIAL SERVICES, INC
  • Facility Address: 905-A NORTH NEW HOPE ROAD
    GASTONIA, NC
    ZIP 28054
  • Facility Phone: 704 861-9280
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: DARLENE S. NORTON
  • NPI Number: 1235327099
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2234760
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name GASTON RESIDENTIAL SERVICES, INC
Street 905-A NORTH NEW HOPE ROAD
City GASTONIA
State NC
ZIP 28054
Phone 704 861-9280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director DARLENE S. NORTON

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