34D2017640 CLIA NUMBER - BROOKDALE HICKORY NE

Laboratory Demographics

  • CLIA Code: 34D2017640
  • Facility Name: BROOKDALE HICKORY NE
  • Facility Address: 2530 16TH ST NE
    HICKORY, NC
    ZIP 28601
  • Facility Phone: 828 324-5400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TINA RIPPY
  • NPI Number: 1740345727
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2017640
LAB Type Assisted Living Facility
Facility Name BROOKDALE HICKORY NE
Street 2530 16TH ST NE
City HICKORY
State NC
ZIP 28601
Phone 828 324-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Assisted Living Facility
Lab Director TINA RIPPY

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