34D2308646 CLIA NUMBER - VANCE OPCO, LLC

Laboratory Demographics

  • CLIA Code: 34D2308646
  • Facility Name: VANCE OPCO, LLC
  • Facility Address: 105 PARKVIEW DRIVE E
    HENDERSON, NC
    ZIP 27536
  • Facility Phone: 252 590-0823
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DESTINY ELLIS
  • NPI Number: 1639950702
  • Taxonomy: 311ZA0620X - Custodial Care Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2308646
LAB Type Assisted Living Facility
Facility Name VANCE OPCO, LLC
Street 105 PARKVIEW DRIVE E
City HENDERSON
State NC
ZIP 27536
Phone 252 590-0823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Assisted Living Facility
Lab Director DESTINY ELLIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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