34D2298932 CLIA NUMBER - THE BETHANY HOUSE, INC

Laboratory Demographics

  • CLIA Code: 34D2298932
  • Facility Name: THE BETHANY HOUSE, INC
  • Facility Address: 240 E VERMONT AVE
    SOUTHERN PINES, NC
    ZIP 28387
  • Facility Phone: 910 692-0779
  • Facility Type: Other - RECOVERY HOME FOR WOMEN
  • Facility Type: Waiver
  • Lab Director: IRIS DICKERSON
  • NPI Number: 1073607735
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2298932
LAB Type Other - RECOVERY HOME FOR WOMEN
Facility Name THE BETHANY HOUSE, INC
Street 240 E VERMONT AVE
City SOUTHERN PINES
State NC
ZIP 28387
Phone 910 692-0779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Other - RECOVERY HOME FOR WOMEN
Lab Director IRIS DICKERSON

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