34D1062335 CLIA NUMBER - RICH SQUARE OPERATIONS, LLC DBA RICH SQUARE NURSING & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 34D1062335
  • Facility Name: RICH SQUARE OPERATIONS, LLC DBA RICH SQUARE NURSING & REHABILITATION CENTER
  • Facility Address: 300 NORTH MAIN STREET
    RICH SQUARE, NC
    ZIP 27869
  • Facility Phone: 252 539-4161
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: FREDA WRIGHT
  • NPI Number: 1598127276
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D1062335
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RICH SQUARE OPERATIONS, LLC DBA RICH SQUARE NURSING & REHABILITATION CENTER
Street 300 NORTH MAIN STREET
City RICH SQUARE
State NC
ZIP 27869
Phone 252 539-4161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director FREDA WRIGHT

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