34D2197144 CLIA NUMBER - RHA HEALTH SERVICES

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Laboratory Demographics

CLIA Number: 34D2197144

Facility Name: RHA HEALTH SERVICES

Facility Address:
1252 GEORGETOWNE RD
LINCOLNTON, NC
ZIP 28092
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Facility Phone Number: 828 684-1940

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1609911973

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	34D2197144
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RHA HEALTH SERVICES
Street	1252 GEORGETOWNE RD
City	LINCOLNTON
State	NC
ZIP	28092
Phone	828 684-1940
CertificateType	4
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024