34D2172187 CLIA NUMBER - MERRYWOOD ON PARK

Laboratory Demographics

  • CLIA Code: 34D2172187
  • Facility Name: MERRYWOOD ON PARK
  • Facility Address: 3600 PARK ROAD
    CHARLOTTE, NC
    ZIP 28209
  • Facility Phone: (704) 523-4949
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JEWELL WATSON
  • NPI Number: 1043514920
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2172187
LAB Type Assisted Living Facility
Facility Name MERRYWOOD ON PARK
Street 3600 PARK ROAD
City CHARLOTTE
State NC
ZIP 28209
Phone 7045234949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Assisted Living Facility
Lab Director JEWELL WATSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026