34D0699279 CLIA NUMBER - SIGNATURE HEALTHCARE OF ROANOKE RAPIDS

Laboratory Demographics

  • CLIA Code: 34D0699279
  • Facility Name: SIGNATURE HEALTHCARE OF ROANOKE RAPIDS
  • Facility Address: 305 E 14TH STREET
    ROANOKE RAPIDS, NC
    ZIP 27870
  • Facility Phone: 252 537-6181
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NAKIA G. WHITLEY
  • NPI Number: 1649685132
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0699279
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SIGNATURE HEALTHCARE OF ROANOKE RAPIDS
Street 305 E 14TH STREET
City ROANOKE RAPIDS
State NC
ZIP 27870
Phone 252 537-6181
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 NAKIA G. WHITLEY

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