34D2241807 CLIA NUMBER - ALEXANDER YOUTH NETWORK - FACILITY BASED CRISIS

Laboratory Demographics

  • CLIA Code: 34D2241807
  • Facility Name: ALEXANDER YOUTH NETWORK - FACILITY BASED CRISIS
  • Facility Address: 925 THIRD STREET
    GREENSBORO, NC
    ZIP 27405
  • Facility Phone: 704 362-8480
  • Facility Type: Other - BEHAVIORAL HEALTH
  • Facility Type: Waiver
  • Lab Director: BUDDY PLUMMER
  • NPI Number: 1952961328
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2241807
LAB Type Other - BEHAVIORAL HEALTH
Facility Name ALEXANDER YOUTH NETWORK - FACILITY BASED CRISIS
Street 925 THIRD STREET
City GREENSBORO
State NC
ZIP 27405
Phone 704 362-8480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Other - BEHAVIORAL HEALTH
Lab Director BUDDY PLUMMER

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