34D2253346 CLIA NUMBER - A STORM COMMUNITY SUPPORT LLC

Laboratory Demographics

  • CLIA Code: 34D2253346
  • Facility Name: A STORM COMMUNITY SUPPORT LLC
  • Facility Address: 4801 GLENWOOD AVE SUITE 200
    RALEIGH, NC
    ZIP 27612
  • Facility Phone: 919 917-8330
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: TIFFANY T. HILL
  • NPI Number: 1255086377
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2253346
LAB Type Independent
Facility Name A STORM COMMUNITY SUPPORT LLC
Street 4801 GLENWOOD AVE SUITE 200
City RALEIGH
State NC
ZIP 27612
Phone 919 917-8330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Independent
Lab Director TIFFANY T. HILL

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