34D2019535 CLIA NUMBER - WELLINGTON HOUSE

Laboratory Demographics

  • CLIA Code: 34D2019535
  • Facility Name: WELLINGTON HOUSE
  • Facility Address: 850 MAJESTIC COURT
    GASTONIA, NC
    ZIP 28054
  • Facility Phone: 704 864-7739
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHERONDA NEWSOME
  • NPI Number: 1497084644
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2019535
LAB Type Assisted Living Facility
Facility Name WELLINGTON HOUSE
Street 850 MAJESTIC COURT
City GASTONIA
State NC
ZIP 28054
Phone 704 864-7739
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Assisted Living Facility
Lab Director SHERONDA NEWSOME

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