34D2019597 CLIA NUMBER - OLIN VILLAGE, LLC DBA OLIN VILLAGE

Laboratory Demographics

  • CLIA Code: 34D2019597
  • Facility Name: OLIN VILLAGE, LLC DBA OLIN VILLAGE
  • Facility Address: 999 TABOR ROAD
    OLIN, NC
    ZIP 28660
  • Facility Phone: (336) 752-2751
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA F. MCCUBBINS
  • NPI Number: 1588763254
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2019597
LAB Type Assisted Living Facility
Facility Name OLIN VILLAGE, LLC DBA OLIN VILLAGE
Street 999 TABOR ROAD
City OLIN
State NC
ZIP 28660
Phone 3367522751
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Assisted Living Facility
Lab Director MELISSA F. MCCUBBINS

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This page was last updated on: 5/18/2026