34D0923311 CLIA NUMBER - MOUNT OLIVE CARE & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 34D0923311
  • Facility Name: MOUNT OLIVE CARE & REHABILITATION CENTER
  • Facility Address: 228 SMITH CHAPEL ROAD
    MOUNT OLIVE, NC
    ZIP 28365
  • Facility Phone: 919 658-9522
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMINU MOHAMMED
  • NPI Number: 1649224056
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0923311
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MOUNT OLIVE CARE & REHABILITATION CENTER
Street 228 SMITH CHAPEL ROAD
City MOUNT OLIVE
State NC
ZIP 28365
Phone 919 658-9522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AMINU MOHAMMED

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