34D0244369 CLIA NUMBER - SOUTHMINSTER INC

Laboratory Demographics

  • CLIA Code: 34D0244369
  • Facility Name: SOUTHMINSTER INC
  • Facility Address: 8919 PARK RD
    CHARLOTTE, NC
    ZIP 28210
  • Facility Phone: 704 551-6800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DOTTIE WALLIN RN
  • NPI Number: 1255596979
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 34D0244369
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTHMINSTER INC
Street 8919 PARK RD
City CHARLOTTE
State NC
ZIP 28210
Phone 704 551-6800
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 DOTTIE WALLIN RN

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