34D2017771 CLIA NUMBER - TOM AND JERRY MANAGEMENT DBA HUNTER VILLAGE ASSIST

Laboratory Demographics

  • CLIA Code: 34D2017771
  • Facility Name: TOM AND JERRY MANAGEMENT DBA HUNTER VILLAGE ASSIST
  • Facility Address: 111 S CHURCH ST
    HUNTERSVILLE, NC
    ZIP 28070
  • Facility Phone: 704 875-0859
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AMY M. HART
  • NPI Number: 1316061534
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2017771
LAB Type Assisted Living Facility
Facility Name TOM AND JERRY MANAGEMENT DBA HUNTER VILLAGE ASSIST
Street 111 S CHURCH ST
City HUNTERSVILLE
State NC
ZIP 28070
Phone 704 875-0859
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Assisted Living Facility
Lab Director AMY M. HART

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