34D2026209 CLIA NUMBER - KENANSVILLE REHABILITATION AND HEALTHCARE

Laboratory Demographics

  • CLIA Code: 34D2026209
  • Facility Name: KENANSVILLE REHABILITATION AND HEALTHCARE
  • Facility Address: 209 BEASLY STREET
    KENANSVILLE, NC
    ZIP 28349
  • Facility Phone: 910 296-1561
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER HULETT
  • NPI Number: 1689777971
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2026209
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KENANSVILLE REHABILITATION AND HEALTHCARE
Street 209 BEASLY STREET
City KENANSVILLE
State NC
ZIP 28349
Phone 910 296-1561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER HULETT

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