34D0671696 CLIA NUMBER - DAVIE NURSING AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 34D0671696
  • Facility Name: DAVIE NURSING AND REHABILITATION CENTER
  • Facility Address: 498 MADISON ROAD
    MOCKSVILLE, NC
    ZIP 27028
  • Facility Phone: 336 751-3535
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HOLLI D. HOUCK
  • NPI Number: 1912485517
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D0671696
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DAVIE NURSING AND REHABILITATION CENTER
Street 498 MADISON ROAD
City MOCKSVILLE
State NC
ZIP 27028
Phone 336 751-3535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2023
Certificate Expiration Date 6/18/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HOLLI D. HOUCK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025