34D2024418 CLIA NUMBER - BROOKDALE SHELBY

Home > CLIA Lookup > 34D2024418

Laboratory Demographics

CLIA Number: 34D2024418

Facility Name: BROOKDALE SHELBY

Facility Address:
1425 E MARION STREET
SHELBY, NC
ZIP 28150
Get Directions

Facility Phone Number: 704 481-0150

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1043467533

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	34D2024418
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE SHELBY
Street	1425 E MARION STREET
City	SHELBY
State	NC
ZIP	28150
Phone	704 481-0150
CertificateType	4
CertificateEffectiveDate	5/16/2023
CertificateExpirationDate	5/15/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024