34D2193431 CLIA NUMBER - SOUTHERN ASSISTED LIVING, LLC DBA BROOKDALE ASHEBORO

Laboratory Demographics

  • CLIA Code: 34D2193431
  • Facility Name: SOUTHERN ASSISTED LIVING, LLC DBA BROOKDALE ASHEBORO
  • Facility Address: 514 VISION DRIVE
    ASHEBORO, NC
    ZIP 27203
  • Facility Phone: 336 672-6600
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOSHUA T. JAMES
  • NPI Number: 1801951041
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2193431
LAB Type Assisted Living Facility
Facility Name SOUTHERN ASSISTED LIVING, LLC DBA BROOKDALE ASHEBORO
Street 514 VISION DRIVE
City ASHEBORO
State NC
ZIP 27203
Phone 336 672-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Assisted Living Facility
Lab Director JOSHUA T. JAMES

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