34D0702736 CLIA NUMBER - RIVER TRACE NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 34D0702736
  • Facility Name: RIVER TRACE NURSING AND REHABILITATION
  • Facility Address: 520 LOVERS LANE
    WASHINGTON, NC
    ZIP 27889
  • Facility Phone: 252 975-1636
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JACKIE WOOLARD
  • NPI Number: 1750317897
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0702736
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVER TRACE NURSING AND REHABILITATION
Street 520 LOVERS LANE
City WASHINGTON
State NC
ZIP 27889
Phone 252 975-1636
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 JACKIE WOOLARD

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