34D0677608 CLIA NUMBER - BREVARD NC OPCO LLC

Laboratory Demographics

  • CLIA Code: 34D0677608
  • Facility Name: BREVARD NC OPCO LLC
  • Facility Address: 115 NORTH COUNTRY CLUB ROAD
    BREVARD, NC
    ZIP 28712
  • Facility Phone: 828 884-2031
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN H. ROBINSON
  • NPI Number: 1699546762
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0677608
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BREVARD NC OPCO LLC
Street 115 NORTH COUNTRY CLUB ROAD
City BREVARD
State NC
ZIP 28712
Phone 828 884-2031
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 SUSAN H. ROBINSON

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