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THE MAGNOLIA
NPI 1245569219
Assisted Living Facility in Clinton, NC

Active since December 21, 2009CLIA 34D2019458 · Waiver
213 FOREST TRL, CLINTON, NC 28328(910) 592-7506 Get Directions Write a Review

NPPES record last updated: December 21, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Magnolia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE MAGNOLIA (NPI 1245569219) is a healthcare organization registered as an assisted living facility in Clinton, North Carolina and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Charles E Trefzger, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1245569219
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCLINTON OPERATING AL, LLC
Location Address213 FOREST TRLClinton, NC 28328-3353
Mailing AddressPo Box 2568Hickory, NC 28603-2568
Phone(910) 592-7506
Organization SubpartNo
Authorized OfficialCharles E TrefzgerAuthorized Official · (828) 261-7312
Enumeration DateDecember 21, 2009
✔ NPI 1245569219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
213 FOREST TRL, Clinton, NC 28328
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Other Names 1

Doing Business AsThe Magnolia

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2019458

The Magnolia · Clinton, NC
Active · expires Jan 30, 2027
CLIA Number34D2019458
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorDonna Parker
Laboratory Phone(910) 592-7506
Laboratory LocationThe Magnolia213 Forest Trail, Clinton, NC 28328
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOREST TRAIL OF CLINTON, LLC
Assisted Living Facility
213 FOREST TRL
CLINTON, NC 28328
Sampson County (910) 592-7506
WP-CLINTON HEALTH HOLDINGS, LLC
Custodial Care Facility (Adult Care Home)
213 FOREST TRL
CLINTON, NC 28328
Sampson County (910) 592-7506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Operating Al, LLC's NPI number?

The NPI number for Clinton Operating Al, LLC is 1245569219. It was assigned to this organization in the NPPES registry on December 21, 2009. The provider is doing business as The Magnolia.

Where is Clinton Operating Al, LLC located?

Clinton Operating Al, LLC is located at 213 Forest Trl, Clinton, NC 28328. The listed phone number is (910) 592-7506.

What is Clinton Operating Al, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Clinton Operating Al, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2019458) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinton Operating Al, LLC was last updated on December 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.