34D2020195 CLIA NUMBER - HIGHGROVE LONGTERM CARE CENTER

Laboratory Demographics

  • CLIA Code: 34D2020195
  • Facility Name: HIGHGROVE LONGTERM CARE CENTER
  • Facility Address: 2135 SOUTH SCALES STREET
    REIDSVILLE, NC
    ZIP 27320
  • Facility Phone: 336 342-4112
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TAMESIA NIEMCZURA
  • NPI Number: 1821145863
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2020195
LAB Type Assisted Living Facility
Facility Name HIGHGROVE LONGTERM CARE CENTER
Street 2135 SOUTH SCALES STREET
City REIDSVILLE
State NC
ZIP 27320
Phone 336 342-4112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Assisted Living Facility
Lab Director TAMESIA NIEMCZURA

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