34D0671999 CLIA NUMBER - AUTUMN CARE OF MARION

Laboratory Demographics

  • CLIA Code: 34D0671999
  • Facility Name: AUTUMN CARE OF MARION
  • Facility Address: 1264 AIRPORT ROAD
    MARION, NC
    ZIP 28752
  • Facility Phone: 704 652-6701
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TAMMY S. WISE
  • NPI Number: 1609852375
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0671999
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUTUMN CARE OF MARION
Street 1264 AIRPORT ROAD
City MARION
State NC
ZIP 28752
Phone 704 652-6701
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 TAMMY S. WISE

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