34D0245472 CLIA NUMBER - AUTUMN CARE OF RAEFORD

Laboratory Demographics

  • CLIA Code: 34D0245472
  • Facility Name: AUTUMN CARE OF RAEFORD
  • Facility Address: 1206 N FULTON ST
    RAEFORD, NC
    ZIP 28376
  • Facility Phone: 910 875-4280
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JUDY ELTING
  • NPI Number: 1851377543
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0245472
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUTUMN CARE OF RAEFORD
Street 1206 N FULTON ST
City RAEFORD
State NC
ZIP 28376
Phone 910 875-4280
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 JUDY ELTING

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