34D2020186 CLIA NUMBER - COLONIAL LONG TERM CARE FACILITY, INC

Laboratory Demographics

  • CLIA Code: 34D2020186
  • Facility Name: COLONIAL LONG TERM CARE FACILITY, INC
  • Facility Address: 340 SNOWHILL DRIVE
    MOUNT AIRY, NC
    ZIP 27030
  • Facility Phone: 336 786-2194
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SANDY HENDRICKS
  • NPI Number: 1942353677
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2020186
LAB Type Assisted Living Facility
Facility Name COLONIAL LONG TERM CARE FACILITY, INC
Street 340 SNOWHILL DRIVE
City MOUNT AIRY
State NC
ZIP 27030
Phone 336 786-2194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Assisted Living Facility
Lab Director SANDY HENDRICKS

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