34D0655448 CLIA NUMBER - REDWOOD LTC GROUP, LLC DBA PREMIER NURSING AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 34D0655448
  • Facility Name: REDWOOD LTC GROUP, LLC DBA PREMIER NURSING AND REHABILITATION CENTER
  • Facility Address: 225 WHITE ST
    JACKSONVILLE, NC
    ZIP 28546
  • Facility Phone: 910 353-7222
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN VERNON
  • NPI Number: 1962447565
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0655448
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name REDWOOD LTC GROUP, LLC DBA PREMIER NURSING AND REHABILITATION CENTER
Street 225 WHITE ST
City JACKSONVILLE
State NC
ZIP 28546
Phone 910 353-7222
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 JOHN VERNON

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