34D2271271 CLIA NUMBER - EDUCARE COMMUNITY LIVING CORPORATION OF NC- BLANCHE

Laboratory Demographics

  • CLIA Code: 34D2271271
  • Facility Name: EDUCARE COMMUNITY LIVING CORPORATION OF NC- BLANCHE
  • Facility Address: 6208 BALANCHE DRIVE
    RALEIGH, NC
    ZIP 27607
  • Facility Phone: 919 827-2790
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: MARIKA WHACK
  • NPI Number: 1215057856
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 34D2271271
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name EDUCARE COMMUNITY LIVING CORPORATION OF NC- BLANCHE
Street 6208 BALANCHE DRIVE
City RALEIGH
State NC
ZIP 27607
Phone 919 827-2790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MARIKA WHACK

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