34D2030062 CLIA NUMBER - BROOKDALE MONROE SQUARE 1

Laboratory Demographics

  • CLIA Code: 34D2030062
  • Facility Name: BROOKDALE MONROE SQUARE 1
  • Facility Address: 918 FITZGERALD STREET
    MONROE, NC
    ZIP 28112
  • Facility Phone: 704 225-0200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AMIE M. JAMES
  • NPI Number: 1265597256
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2030062
LAB Type Assisted Living Facility
Facility Name BROOKDALE MONROE SQUARE 1
Street 918 FITZGERALD STREET
City MONROE
State NC
ZIP 28112
Phone 704 225-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Assisted Living Facility
Lab Director AMIE M. JAMES

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