34D2200671 CLIA NUMBER - BROOKDALE ELIZABETH CITY

Laboratory Demographics

  • CLIA Code: 34D2200671
  • Facility Name: BROOKDALE ELIZABETH CITY
  • Facility Address: 401 HASTINGS LANE
    ELIZABETH CITY, NC
    ZIP 27909
  • Facility Phone: 525 333-1171
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EMILY F. KOURY
  • NPI Number: 1659436780
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2200671
LAB Type Assisted Living Facility
Facility Name BROOKDALE ELIZABETH CITY
Street 401 HASTINGS LANE
City ELIZABETH CITY
State NC
ZIP 27909
Phone 525 333-1171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Assisted Living Facility
Lab Director EMILY F. KOURY

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