34D0861928 CLIA NUMBER - SNOWSHOE LTC, LLC DBA PINEY GROVE NURSING AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 34D0861928
  • Facility Name: SNOWSHOE LTC, LLC DBA PINEY GROVE NURSING AND REHAB CENTER
  • Facility Address: 728 PINEY GROVE RD LUTHER FRITTS ADMISTRATOR
    KERNERSVILLE, NC
    ZIP 27284
  • Facility Phone: 910 996-4038
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: A RENEE BALL
  • NPI Number: 1811923931
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0861928
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SNOWSHOE LTC, LLC DBA PINEY GROVE NURSING AND REHAB CENTER
Street 728 PINEY GROVE RD LUTHER FRITTS ADMISTRATOR
City KERNERSVILLE
State NC
ZIP 27284
Phone 910 996-4038
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 A RENEE BALL

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