34D2015948 CLIA NUMBER - MAGNOLIA GARDENS ASSISTED LIVING AND SERENITY PLACE

Laboratory Demographics

  • CLIA Code: 34D2015948
  • Facility Name: MAGNOLIA GARDENS ASSISTED LIVING AND SERENITY PLACE
  • Facility Address: 594 MURRAY HILL RD
    SOUTHERN PINES, NC
    ZIP 28387
  • Facility Phone: 910 692-6311
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEBBIE B. OGBURN
  • NPI Number: 1760677413
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2015948
LAB Type Assisted Living Facility
Facility Name MAGNOLIA GARDENS ASSISTED LIVING AND SERENITY PLACE
Street 594 MURRAY HILL RD
City SOUTHERN PINES
State NC
ZIP 28387
Phone 910 692-6311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Assisted Living Facility
Lab Director DEBBIE B. OGBURN

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