34D2239262 CLIA NUMBER - LAKE HOUSE ACADEMY

Laboratory Demographics

  • CLIA Code: 34D2239262
  • Facility Name: LAKE HOUSE ACADEMY
  • Facility Address: 447 LILY PAD LN
    FLAT ROCK, NC
    ZIP 28731
  • Facility Phone: 404 805-8494
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: BAILEY N. RAGAN
  • NPI Number: 1245668946
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2239262
LAB Type School/Student Health Service
Facility Name LAKE HOUSE ACADEMY
Street 447 LILY PAD LN
City FLAT ROCK
State NC
ZIP 28731
Phone 404 805-8494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type School/Student Health Service
Lab Director BAILEY N. RAGAN

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