08D0870495 CLIA NUMBER - COUNTRY REST HOME INC

Laboratory Demographics

  • CLIA Code: 08D0870495
  • Facility Name: COUNTRY REST HOME INC
  • Facility Address: 12046 SUNSET LANE
    GREENWOOD, DE
    ZIP 19950
  • Facility Phone: 302 349-4114
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARK YODER
  • NPI Number: 1447477690
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 08D0870495
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COUNTRY REST HOME INC
Street 12046 SUNSET LANE
City GREENWOOD
State DE
ZIP 19950
Phone 302 349-4114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARK YODER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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