34D0967250 CLIA NUMBER - SPRUCE LTC, LLC DBA WILSON PINES NURSING AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 34D0967250
  • Facility Name: SPRUCE LTC, LLC DBA WILSON PINES NURSING AND REHAB CENTER
  • Facility Address: 403 CRESTVIEW AVE
    WILSON, NC
    ZIP 27893
  • Facility Phone: 252 237-0724
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RITA D. VANNUYS
  • NPI Number: 1700812146
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D0967250
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SPRUCE LTC, LLC DBA WILSON PINES NURSING AND REHAB CENTER
Street 403 CRESTVIEW AVE
City WILSON
State NC
ZIP 27893
Phone 252 237-0724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RITA D. VANNUYS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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