34D2019458 CLIA NUMBER - THE MAGNOLIA

Laboratory Demographics

  • CLIA Code: 34D2019458
  • Facility Name: THE MAGNOLIA
  • Facility Address: 213 FOREST TRAIL
    CLINTON, NC
    ZIP 28328
  • Facility Phone: 910 592-7506
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DONNA PARKER
  • NPI Number: 1245569219
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2019458
LAB Type Assisted Living Facility
Facility Name THE MAGNOLIA
Street 213 FOREST TRAIL
City CLINTON
State NC
ZIP 28328
Phone 910 592-7506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Assisted Living Facility
Lab Director DONNA PARKER

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