34D2149663 CLIA NUMBER - WALNUT RIDGE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 34D2149663
  • Facility Name: WALNUT RIDGE ASSISTED LIVING
  • Facility Address: 411 WINDMILL STREET
    WALNUT COVE, NC
    ZIP 27052
  • Facility Phone: 336 591-7790
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ALETA C. SHELTON
  • NPI Number: 1326179359
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2149663
LAB Type Assisted Living Facility
Facility Name WALNUT RIDGE ASSISTED LIVING
Street 411 WINDMILL STREET
City WALNUT COVE
State NC
ZIP 27052
Phone 336 591-7790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Assisted Living Facility
Lab Director ALETA C. SHELTON

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