34D0246291 CLIA NUMBER - MAPLE LTC GROUP, LLC DBA CAROLINA RIVERS NURSING AND REHAB CNTR

Laboratory Demographics

  • CLIA Code: 34D0246291
  • Facility Name: MAPLE LTC GROUP, LLC DBA CAROLINA RIVERS NURSING AND REHAB CNTR
  • Facility Address: 1839 ONSLOW DRIVE EXT
    JACKSONVILLE, NC
    ZIP 28540
  • Facility Phone: 919 455-3610
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TAMMY T. STEED
  • NPI Number: 1558393835
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0246291
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLE LTC GROUP, LLC DBA CAROLINA RIVERS NURSING AND REHAB CNTR
Street 1839 ONSLOW DRIVE EXT
City JACKSONVILLE
State NC
ZIP 28540
Phone 919 455-3610
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 TAMMY T. STEED

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