34D2019401 CLIA NUMBER - CEDAR MOUNTAIN HOUSE

Laboratory Demographics

  • CLIA Code: 34D2019401
  • Facility Name: CEDAR MOUNTAIN HOUSE
  • Facility Address: 11 SHERWOOD RIDGE ROAD
    BREVARD, NC
    ZIP 28712
  • Facility Phone: 828 884-9510
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PAM SLATER
  • NPI Number: 1962731935
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2019401
LAB Type Assisted Living Facility
Facility Name CEDAR MOUNTAIN HOUSE
Street 11 SHERWOOD RIDGE ROAD
City BREVARD
State NC
ZIP 28712
Phone 828 884-9510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Assisted Living Facility
Lab Director PAM SLATER

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