34D0724211 CLIA NUMBER - SPRUCE LTC, LLC DBA RICHMOND PINES HEALTHCARE AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 34D0724211
  • Facility Name: SPRUCE LTC, LLC DBA RICHMOND PINES HEALTHCARE AND REHAB CENTER
  • Facility Address: HIGHWAY 177 S
    HAMLET, NC
    ZIP 28345
  • Facility Phone: 910 582-0021
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BILL MANG
  • NPI Number: 1689603060
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0724211
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SPRUCE LTC, LLC DBA RICHMOND PINES HEALTHCARE AND REHAB CENTER
Street HIGHWAY 177 S
City HAMLET
State NC
ZIP 28345
Phone 910 582-0021
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 BILL MANG

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