34D2252250 CLIA NUMBER - GRACIOUS LIVING ADULT DAY AND HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 34D2252250
  • Facility Name: GRACIOUS LIVING ADULT DAY AND HEALTH CARE CENTER
  • Facility Address: 9920 KINCEY AVE
    HUNTERSVILLE, NC
    ZIP 28078
  • Facility Phone: 704 997-5032
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: MICHELE D. ALLGOOD
  • NPI Number: 1407259179
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2252250
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name GRACIOUS LIVING ADULT DAY AND HEALTH CARE CENTER
Street 9920 KINCEY AVE
City HUNTERSVILLE
State NC
ZIP 28078
Phone 704 997-5032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MICHELE D. ALLGOOD

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