34D2166830 CLIA NUMBER - RHA HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 34D2166830
  • Facility Name: RHA HEALTH SERVICES
  • Facility Address: 1388 LEWIS FORK BAPTIST CHURCH ROAD
    STATESVILLE, NC
    ZIP 28625
  • Facility Phone: 828 262-5450
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: ROBIN L. CORRELL
  • NPI Number: 1720123052
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 34D2166830
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RHA HEALTH SERVICES
Street 1388 LEWIS FORK BAPTIST CHURCH ROAD
City STATESVILLE
State NC
ZIP 28625
Phone 828 262-5450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director ROBIN L. CORRELL

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