34D0714510 CLIA NUMBER - TAR RIVER LTC GROUP, LLC NORTHAMPTON NURSING AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 34D0714510
  • Facility Name: TAR RIVER LTC GROUP, LLC NORTHAMPTON NURSING AND REHAB CENTER
  • Facility Address: 200 HAMPTON WOODS COMPLEX
    JACKSON, NC
    ZIP 27845
  • Facility Phone: 252 534-0131
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DELORIS G. ROBERSON
  • NPI Number: 1013951896
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0714510
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TAR RIVER LTC GROUP, LLC NORTHAMPTON NURSING AND REHAB CENTER
Street 200 HAMPTON WOODS COMPLEX
City JACKSON
State NC
ZIP 27845
Phone 252 534-0131
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 DELORIS G. ROBERSON

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