34D2299085 CLIA NUMBER - ELITE GROUP SERVICES INC

Laboratory Demographics

  • CLIA Code: 34D2299085
  • Facility Name: ELITE GROUP SERVICES INC
  • Facility Address: 1188 FAYETTEVILLE RD
    RAEFORD, NC
    ZIP 28376
  • Facility Phone: (910) 565-2857
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: HARRY SOUTHERLAND
  • NPI Number: 1407253875
  • Taxonomy: 3747P1801X - Technician

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CLIA Record

Field Name Field Value
CLIA Number 34D2299085
LAB Type Health Main. Organization
Facility Name ELITE GROUP SERVICES INC
Street 1188 FAYETTEVILLE RD
City RAEFORD
State NC
ZIP 28376
Phone 9105652857
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2026
Certificate Expiration Date 2/12/2028
Facility Type Health Main. Organization
Lab Director HARRY SOUTHERLAND

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This page was last updated on: 5/18/2026