34D0877051 CLIA NUMBER - MAPLE GROVE HEALTH AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 34D0877051
  • Facility Name: MAPLE GROVE HEALTH AND REHABILITATION
  • Facility Address: 308 WEST MEADOWVIEW ROAD
    GREENSBORO, NC
    ZIP 27406
  • Facility Phone: 919 230-0534
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: IVY D. PEARSON
  • NPI Number: 1144405804
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0877051
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLE GROVE HEALTH AND REHABILITATION
Street 308 WEST MEADOWVIEW ROAD
City GREENSBORO
State NC
ZIP 27406
Phone 919 230-0534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director IVY D. PEARSON

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