34D2296918 CLIA NUMBER - WEST HILLCREST DDA GROUP HOME, LLC

Laboratory Demographics

CLIA Code: 34D2296918
Facility Name: WEST HILLCREST DDA GROUP HOME, LLC
Facility Address: 925 SOUTH CHURCH STREET
BURLINGTON, NC
ZIP 27215
Facility Phone: 336 227-3845
Facility Type: Independent
Facility Type: Waiver
Lab Director: ESTHER RICHARDS
NPI Number: 1124146048
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2296918
LAB Type	Independent
Facility Name	WEST HILLCREST DDA GROUP HOME, LLC
Street	925 SOUTH CHURCH STREET
City	BURLINGTON
State	NC
ZIP	27215
Phone	336 227-3845
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/8/2024
Certificate Expiration Date	1/7/2026
Facility Type	Independent
Lab Director	ESTHER RICHARDS

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