34D2000348 CLIA NUMBER - GRANITE FALLS LTC, LLC DBA MAGNOLIA LANE NURSING AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 34D2000348
  • Facility Name: GRANITE FALLS LTC, LLC DBA MAGNOLIA LANE NURSING AND REHAB CENTER
  • Facility Address: 107 MAGNOLIA DR
    MORGANTON, NC
    ZIP 28655
  • Facility Phone: 828 437-8760
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA B. LAIL
  • NPI Number: 1952337073
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2000348
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GRANITE FALLS LTC, LLC DBA MAGNOLIA LANE NURSING AND REHAB CENTER
Street 107 MAGNOLIA DR
City MORGANTON
State NC
ZIP 28655
Phone 828 437-8760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MELISSA B. LAIL

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