34D2149665 CLIA NUMBER - PRESTON HOUSE

Laboratory Demographics

  • CLIA Code: 34D2149665
  • Facility Name: PRESTON HOUSE
  • Facility Address: 4910 HARRIS WOODS BOULEVARD
    CHARLOTTE, NC
    ZIP 28269
  • Facility Phone: 704 921-9279
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: APRIL R. GOODMAN
  • NPI Number: 1366595647
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 34D2149665
LAB Type Assisted Living Facility
Facility Name PRESTON HOUSE
Street 4910 HARRIS WOODS BOULEVARD
City CHARLOTTE
State NC
ZIP 28269
Phone 704 921-9279
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 APRIL R. GOODMAN

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