34D2080818 CLIA NUMBER - AUTUMN CARE OF CORNELIUS

Laboratory Demographics

  • CLIA Code: 34D2080818
  • Facility Name: AUTUMN CARE OF CORNELIUS
  • Facility Address: 19530 MOUNT ZION PARKWAY
    CORNELIUS, NC
    ZIP 28031
  • Facility Phone: 704 997-2970
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRAD MYERS
  • NPI Number: 1376932889
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2080818
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUTUMN CARE OF CORNELIUS
Street 19530 MOUNT ZION PARKWAY
City CORNELIUS
State NC
ZIP 28031
Phone 704 997-2970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BRAD MYERS

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