34D2322065 CLIA NUMBER - LEGACY LIVING CENTER

Laboratory Demographics

  • CLIA Code: 34D2322065
  • Facility Name: LEGACY LIVING CENTER
  • Facility Address: 218 ADAMS STREET
    BURLINGTON, NC
    ZIP 27217
  • Facility Phone: 336 792-6092
  • Facility Type: Other - GROUP HOME
  • Facility Type: Waiver
  • Lab Director: SHARDA A. LONG
  • NPI Number: 1871159095
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2322065
LAB Type Other - GROUP HOME
Facility Name LEGACY LIVING CENTER
Street 218 ADAMS STREET
City BURLINGTON
State NC
ZIP 27217
Phone 336 792-6092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Other - GROUP HOME
Lab Director SHARDA A. LONG

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