34D2017663 CLIA NUMBER - BROOKDALE EDEN

Laboratory Demographics

  • CLIA Code: 34D2017663
  • Facility Name: BROOKDALE EDEN
  • Facility Address: 314 W KINGS HWY
    EDEN, NC
    ZIP 27288
  • Facility Phone: 336 623-1901
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CHERIE MELTON
  • NPI Number: 1093870123
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2017663
LAB Type Assisted Living Facility
Facility Name BROOKDALE EDEN
Street 314 W KINGS HWY
City EDEN
State NC
ZIP 27288
Phone 336 623-1901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Assisted Living Facility
Lab Director CHERIE MELTON

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