34D2212144 CLIA NUMBER - WOODLAWN HAVEN

Laboratory Demographics

  • CLIA Code: 34D2212144
  • Facility Name: WOODLAWN HAVEN
  • Facility Address: 301 CRAIG STREET
    MOUNT HOLLY, NC
    ZIP 28120
  • Facility Phone: 704 827-1573
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EVERETTE SPRINGS
  • NPI Number: 1972642049
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2212144
LAB Type Assisted Living Facility
Facility Name WOODLAWN HAVEN
Street 301 CRAIG STREET
City MOUNT HOLLY
State NC
ZIP 28120
Phone 704 827-1573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Assisted Living Facility
Lab Director EVERETTE SPRINGS

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