34D0240217 CLIA NUMBER - BIRCH LTC GROUP, LLC DBA BARBOUR COURT NURSING AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 34D0240217
  • Facility Name: BIRCH LTC GROUP, LLC DBA BARBOUR COURT NURSING AND REHAB CENTER
  • Facility Address: 515 BARBOUR ROAD
    SMITHFIELD, NC
    ZIP 27577
  • Facility Phone: 919 934-6017
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANGELA M. MCMULLEN
  • NPI Number: 1225064777
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0240217
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BIRCH LTC GROUP, LLC DBA BARBOUR COURT NURSING AND REHAB CENTER
Street 515 BARBOUR ROAD
City SMITHFIELD
State NC
ZIP 27577
Phone 919 934-6017
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 ANGELA M. MCMULLEN

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