34D0716961 CLIA NUMBER - PINE RIDGE HEALTH AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 34D0716961
  • Facility Name: PINE RIDGE HEALTH AND REHABILITATION
  • Facility Address: 706 PINEYWOOD ROAD
    THOMASVILLE, NC
    ZIP 27360
  • Facility Phone: 336 475-9116
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LISA C. JOHNSON
  • NPI Number: 1982640785
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0716961
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINE RIDGE HEALTH AND REHABILITATION
Street 706 PINEYWOOD ROAD
City THOMASVILLE
State NC
ZIP 27360
Phone 336 475-9116
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 LISA C. JOHNSON

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