34D2152242 CLIA NUMBER - SHELBY CLINICAL RESEARCH, LLC

Laboratory Demographics

CLIA Number: 34D2152242

Facility Name: SHELBY CLINICAL RESEARCH, LLC

Facility Address:
112 EAST GROVER STREET
SHELBY, NC
ZIP 28150
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Facility Phone Number: 980 552-9230

Facility Type: Other - PRE-SCREENING FOR TRIALS

Certificate Type: Waiver

NPI Number: 1689171431

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	34D2152242
LAB Type	Other - PRE-SCREENING FOR TRIALS
Facility Name	SHELBY CLINICAL RESEARCH, LLC
Street	112 EAST GROVER STREET
City	SHELBY
State	NC
ZIP	28150
Phone	980 552-9230
CertificateType	4
CertificateEffectiveDate	8/7/2022
CertificateExpirationDate	8/6/2024
FacilityType	Waiver

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