34D2150938 CLIA NUMBER - BKD PERSONAL ASSISTANCE SERVICES, LLC DBA BROOKDALE AT HOME CARRIAGE CLUB

Laboratory Demographics

  • CLIA Code: 34D2150938
  • Facility Name: BKD PERSONAL ASSISTANCE SERVICES, LLC DBA BROOKDALE AT HOME CARRIAGE CLUB
  • Facility Address: 5800 OLD PROVIDENCE ROAD
    CHARLOTTE, NC
    ZIP 28226
  • Facility Phone: 704 887-0172
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SARAH MURRAY
  • NPI Number: 1629795190
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 34D2150938
LAB Type Home Health Agency
Facility Name BKD PERSONAL ASSISTANCE SERVICES, LLC DBA BROOKDALE AT HOME CARRIAGE CLUB
Street 5800 OLD PROVIDENCE ROAD
City CHARLOTTE
State NC
ZIP 28226
Phone 704 887-0172
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Home Health Agency
Lab Director SARAH MURRAY

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