34D2049962 CLIA NUMBER - CLEVELAND HOUSE

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Laboratory Demographics

CLIA Number: 34D2049962

Facility Name: CLEVELAND HOUSE

Facility Address:
950 HARDIN DRIVE
SHELBY, NC
ZIP 28150
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Facility Phone Number: 704 480-9800

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1275681264

Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

CLIA Record

Field Name	Field Value
CLIA Number	34D2049962
LAB Type	Assisted Living Facility
Facility Name	CLEVELAND HOUSE
Street	950 HARDIN DRIVE
City	SHELBY
State	NC
ZIP	28150
Phone	704 480-9800
CertificateType	4
CertificateEffectiveDate	11/16/2022
CertificateExpirationDate	11/15/2024
FacilityType	Waiver

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