34D2026835 CLIA NUMBER - SOUTHERN ASSISTED LIVING, LLC DBA BROOKDALE WEDDINGTON PARK

Laboratory Demographics

  • CLIA Code: 34D2026835
  • Facility Name: SOUTHERN ASSISTED LIVING, LLC DBA BROOKDALE WEDDINGTON PARK
  • Facility Address: 2404 PLANTATION CENTER DRIVE
    MATTHEWS, NC
    ZIP 28105
  • Facility Phone: 704 847-9477
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER FITCHETT
  • NPI Number: 1386700284
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2026835
LAB Type Assisted Living Facility
Facility Name SOUTHERN ASSISTED LIVING, LLC DBA BROOKDALE WEDDINGTON PARK
Street 2404 PLANTATION CENTER DRIVE
City MATTHEWS
State NC
ZIP 28105
Phone 704 847-9477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Assisted Living Facility
Lab Director JENNIFER FITCHETT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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