34D1094967 CLIA NUMBER - WILLOW VALLEY CENTER FOR NURSING & REHABILITATION

Laboratory Demographics

  • CLIA Code: 34D1094967
  • Facility Name: WILLOW VALLEY CENTER FOR NURSING & REHABILITATION
  • Facility Address: 1900 WEST 1ST STREET
    WINSTON-SALEM, NC
    ZIP 27104
  • Facility Phone: 336 724-2821
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KAREN K. ROLLENHAGEN
  • NPI Number: 1821551797
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D1094967
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILLOW VALLEY CENTER FOR NURSING & REHABILITATION
Street 1900 WEST 1ST STREET
City WINSTON-SALEM
State NC
ZIP 27104
Phone 336 724-2821
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KAREN K. ROLLENHAGEN

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