34D0679133 CLIA NUMBER - ROXBORO NURSING CENTER - LIBERTY HEALTHCARE MANAGEMENT

Laboratory Demographics

  • CLIA Code: 34D0679133
  • Facility Name: ROXBORO NURSING CENTER - LIBERTY HEALTHCARE MANAGEMENT
  • Facility Address: 901 RIDGE ROAD
    ROXBORO, NC
    ZIP 27573
  • Facility Phone: 336 599-0106
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JACQUELINE ROYAL
  • NPI Number: 1386830248
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0679133
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROXBORO NURSING CENTER - LIBERTY HEALTHCARE MANAGEMENT
Street 901 RIDGE ROAD
City ROXBORO
State NC
ZIP 27573
Phone 336 599-0106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JACQUELINE ROYAL

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