34D2302897 CLIA NUMBER - EXTENDACARE HOME CARE & INFUSION THERAPY

Laboratory Demographics

  • CLIA Code: 34D2302897
  • Facility Name: EXTENDACARE HOME CARE & INFUSION THERAPY
  • Facility Address: 2509 NORTH NASH STREET STE B
    ELM CITY, NC
    ZIP 27822
  • Facility Phone: 252 298-5165
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LAQUEITA Q. MORNING,
  • NPI Number: 1982388393
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 34D2302897
LAB Type Home Health Agency
Facility Name EXTENDACARE HOME CARE & INFUSION THERAPY
Street 2509 NORTH NASH STREET STE B
City ELM CITY
State NC
ZIP 27822
Phone 252 298-5165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Home Health Agency
Lab Director LAQUEITA Q. MORNING,

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