34D2244877 CLIA NUMBER - DAYMARK RECOVERY SERVICES RANDOLPH CENTER

Laboratory Demographics

  • CLIA Code: 34D2244877
  • Facility Name: DAYMARK RECOVERY SERVICES RANDOLPH CENTER
  • Facility Address: 110 WEST WALKER AVENUE
    ASHEBORO, NC
    ZIP 27203
  • Facility Phone: 336 633-7000
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JERRY O. EARNHARDT
  • NPI Number: 1699903591
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 34D2244877
LAB Type Community Clinic
Facility Name DAYMARK RECOVERY SERVICES RANDOLPH CENTER
Street 110 WEST WALKER AVENUE
City ASHEBORO
State NC
ZIP 27203
Phone 336 633-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Community Clinic
Lab Director JERRY O. EARNHARDT

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