34D2262420 CLIA NUMBER - RED OAK RECOVERY

Laboratory Demographics

  • CLIA Code: 34D2262420
  • Facility Name: RED OAK RECOVERY
  • Facility Address: 631 WILLOW CREEK ROAD
    LEICESTER, NC
    ZIP 28748
  • Facility Phone: 828 318-0148
  • Facility Type: Other - MHL LICENSED FACILITY
  • Facility Type: Waiver
  • Lab Director: JESSI HERR
  • NPI Number: 1194137703
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2262420
LAB Type Other - MHL LICENSED FACILITY
Facility Name RED OAK RECOVERY
Street 631 WILLOW CREEK ROAD
City LEICESTER
State NC
ZIP 28748
Phone 828 318-0148
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Other - MHL LICENSED FACILITY
Lab Director JESSI HERR

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