34D2196906 CLIA NUMBER - RHA HEALTH SERVICES HP - BENTON LANE

Laboratory Demographics

  • CLIA Code: 34D2196906
  • Facility Name: RHA HEALTH SERVICES HP - BENTON LANE
  • Facility Address: 2205 BENTON LANE
    GREENSBORO, NC
    ZIP 27455
  • Facility Phone: 336 885-5090
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: TERESA T. JOHNSON
  • NPI Number: 1235483942
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 34D2196906
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RHA HEALTH SERVICES HP - BENTON LANE
Street 2205 BENTON LANE
City GREENSBORO
State NC
ZIP 27455
Phone 336 885-5090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director TERESA T. JOHNSON

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