34D2181186 CLIA NUMBER - SOUTHERN ASSISTED LIVING, LLC DBA BROOKDALE SALISBURY

Laboratory Demographics

  • CLIA Code: 34D2181186
  • Facility Name: SOUTHERN ASSISTED LIVING, LLC DBA BROOKDALE SALISBURY
  • Facility Address: 2201 STATESVILLE BOULEVARD
    SALISBURY, NC
    ZIP 28147
  • Facility Phone: 704 636-0588
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA K. CASTLE
  • NPI Number: 1982760856
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2181186
LAB Type Assisted Living Facility
Facility Name SOUTHERN ASSISTED LIVING, LLC DBA BROOKDALE SALISBURY
Street 2201 STATESVILLE BOULEVARD
City SALISBURY
State NC
ZIP 28147
Phone 704 636-0588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Assisted Living Facility
Lab Director MELISSA K. CASTLE

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