34D2166813 CLIA NUMBER - RHA HEALTH SERVICES

Laboratory Demographics

CLIA Code: 34D2166813
Facility Name: RHA HEALTH SERVICES
Facility Address: 105 PARK AVENUE
CREEDMOOR, NC
ZIP 27522
Facility Phone: 919 528-2558
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: BRIDGET L. EATON
NPI Number: 1821369570
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2166813
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RHA HEALTH SERVICES
Street	105 PARK AVENUE
City	CREEDMOOR
State	NC
ZIP	27522
Phone	919 528-2558
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/7/2025
Certificate Expiration Date	1/6/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	BRIDGET L. EATON

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