34D2312620 CLIA NUMBER - MOORESVILLE COMPREHENSIVE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 34D2312620
  • Facility Name: MOORESVILLE COMPREHENSIVE TREATMENT CENTER
  • Facility Address: 128 E. PLAZA DRIVE STES 3 & 4
    MOORESVILLE, NC
    ZIP 28115
  • Facility Phone: 980 306-4201
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: RAVI PATEL
  • NPI Number: 1881639979
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2312620
LAB Type Comp. Outpatient Rehab Facility
Facility Name MOORESVILLE COMPREHENSIVE TREATMENT CENTER
Street 128 E. PLAZA DRIVE STES 3 & 4
City MOORESVILLE
State NC
ZIP 28115
Phone 980 306-4201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director RAVI PATEL

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