34D2194519 CLIA NUMBER - BRUNSWICK COMMUNITY, LLC DBA, THE COASTAL POINTE

Laboratory Demographics

  • CLIA Code: 34D2194519
  • Facility Name: BRUNSWICK COMMUNITY, LLC DBA, THE COASTAL POINTE
  • Facility Address: 5220 OCEAN HWY WEST
    SHALLOTTE, NC
    ZIP 28470
  • Facility Phone: 910 713-1717
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TAYLOR M. FULLER
  • NPI Number: 1891320115
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2194519
LAB Type Assisted Living Facility
Facility Name BRUNSWICK COMMUNITY, LLC DBA, THE COASTAL POINTE
Street 5220 OCEAN HWY WEST
City SHALLOTTE
State NC
ZIP 28470
Phone 910 713-1717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Assisted Living Facility
Lab Director TAYLOR M. FULLER

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