34D1104278 CLIA NUMBER - CHAMPIONS ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 34D1104278
  • Facility Name: CHAMPIONS ASSISTED LIVING
  • Facility Address: 1007 PORTERS NECK RD
    WILMINGTON, NC
    ZIP 28411
  • Facility Phone: 910 686-6462
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CHARLES LONG
  • NPI Number: 1851396535
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D1104278
LAB Type Assisted Living Facility
Facility Name CHAMPIONS ASSISTED LIVING
Street 1007 PORTERS NECK RD
City WILMINGTON
State NC
ZIP 28411
Phone 910 686-6462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Assisted Living Facility
Lab Director CHARLES LONG

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