34D0655266 CLIA NUMBER - SPRUCE LTC, LLC DBA BETHANY WOODS NURSING AND REHABILITATION CNTR

Laboratory Demographics

  • CLIA Code: 34D0655266
  • Facility Name: SPRUCE LTC, LLC DBA BETHANY WOODS NURSING AND REHABILITATION CNTR
  • Facility Address: 33426 OLD SALISBURY ROAD
    ALBEMARLE, NC
    ZIP 28001
  • Facility Phone: 704 983-1195
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE ADDISON
  • NPI Number: 1235175175
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0655266
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SPRUCE LTC, LLC DBA BETHANY WOODS NURSING AND REHABILITATION CNTR
Street 33426 OLD SALISBURY ROAD
City ALBEMARLE
State NC
ZIP 28001
Phone 704 983-1195
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 MICHELLE ADDISON

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