34D2016301 CLIA NUMBER - CROWN COLONY

Laboratory Demographics

  • CLIA Code: 34D2016301
  • Facility Name: CROWN COLONY
  • Facility Address: 291 COMMERCIAL DR
    MOORESVILLE, NC
    ZIP 28115
  • Facility Phone: 704 663-7600
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AMY HART
  • NPI Number: 1750415014
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2016301
LAB Type Assisted Living Facility
Facility Name CROWN COLONY
Street 291 COMMERCIAL DR
City MOORESVILLE
State NC
ZIP 28115
Phone 704 663-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Assisted Living Facility
Lab Director AMY HART

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