34D2017454 CLIA NUMBER - LSA ELMS AT TANGLEWOOD INC DBA ELMS AT TANGLEWOOD INC

Laboratory Demographics

  • CLIA Code: 34D2017454
  • Facility Name: LSA ELMS AT TANGLEWOOD INC DBA ELMS AT TANGLEWOOD INC
  • Facility Address: 3750 HARPER RD
    CLEMMONS, NC
    ZIP 27012
  • Facility Phone: 336 766-2131
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: FRANDEE NICHOLS
  • NPI Number: 1962648543
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2017454
LAB Type Assisted Living Facility
Facility Name LSA ELMS AT TANGLEWOOD INC DBA ELMS AT TANGLEWOOD INC
Street 3750 HARPER RD
City CLEMMONS
State NC
ZIP 27012
Phone 336 766-2131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Assisted Living Facility
Lab Director FRANDEE NICHOLS

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