34D2017880 CLIA NUMBER - RIVERSTONE HEALTH MANAGEMENT INC

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Laboratory Demographics

CLIA Number: 34D2017880

Facility Name: RIVERSTONE HEALTH MANAGEMENT INC

Facility Address:
104 EFIRD BLVD
NEW BERN, NC
ZIP 28562
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Facility Phone Number: 252 633-3455

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1306978606

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	34D2017880
LAB Type	Assisted Living Facility
Facility Name	RIVERSTONE HEALTH MANAGEMENT INC
Street	104 EFIRD BLVD
City	NEW BERN
State	NC
ZIP	28562
Phone	252 633-3455
CertificateType	4
CertificateEffectiveDate	12/21/2022
CertificateExpirationDate	12/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024