34D2292018 CLIA NUMBER - SOUTHEASTERN RECOVERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 34D2292018
  • Facility Name: SOUTHEASTERN RECOVERY CENTER LLC
  • Facility Address: 1018 LEE ANN DR NE
    CONCORD, NC
    ZIP 28025
  • Facility Phone: 704 810-1208
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: DAVID M. STERN
  • NPI Number: 1124703988
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2292018
LAB Type Health Main. Organization
Facility Name SOUTHEASTERN RECOVERY CENTER LLC
Street 1018 LEE ANN DR NE
City CONCORD
State NC
ZIP 28025
Phone 704 810-1208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2023
Certificate Expiration Date 10/18/2025
Facility Type Health Main. Organization
Lab Director DAVID M. STERN

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