34D2263140 CLIA NUMBER - PRESTWICK VILLAGE

Laboratory Demographics

CLIA Number: 34D2263140

Facility Name: PRESTWICK VILLAGE

Facility Address:
1000 JOHNS ROAD
LAURINBURG, NC
ZIP 28352
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Facility Phone Number: 910 276-5950

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1104968866

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	34D2263140
LAB Type	Assisted Living Facility
Facility Name	PRESTWICK VILLAGE
Street	1000 JOHNS ROAD
City	LAURINBURG
State	NC
ZIP	28352
Phone	910 276-5950
CertificateType	4
CertificateEffectiveDate	6/23/2022
CertificateExpirationDate	6/22/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024