34D0243232 CLIA NUMBER - AUTUMN CARE OF MARSHVILLE

Laboratory Demographics

  • CLIA Code: 34D0243232
  • Facility Name: AUTUMN CARE OF MARSHVILLE
  • Facility Address: 311 WEST PHIFER STREET
    MARSHVILLE, NC
    ZIP 28103
  • Facility Phone: 704 624-6643
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRANDIS TAYLOR
  • NPI Number: 1093791337
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0243232
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUTUMN CARE OF MARSHVILLE
Street 311 WEST PHIFER STREET
City MARSHVILLE
State NC
ZIP 28103
Phone 704 624-6643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BRANDIS TAYLOR

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This page was last updated on: 3/20/2025