34D2017645 CLIA NUMBER - BROOKDALE UNION

Laboratory Demographics

  • CLIA Code: 34D2017645
  • Facility Name: BROOKDALE UNION
  • Facility Address: 1717 UNION RD
    GASTONIA, NC
    ZIP 28054
  • Facility Phone: (704) 864-9440
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BOWERS SHIMIKA
  • NPI Number: 1093871949
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2017645
LAB Type Assisted Living Facility
Facility Name BROOKDALE UNION
Street 1717 UNION RD
City GASTONIA
State NC
ZIP 28054
Phone 7048649440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Assisted Living Facility
Lab Director BOWERS SHIMIKA

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This page was last updated on: 5/18/2026