34D2197969 CLIA NUMBER - RHA HEALTH SERVICES LLC - BRENTWOOD

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Laboratory Demographics

CLIA Number: 34D2197969

Facility Name: RHA HEALTH SERVICES LLC - BRENTWOOD

Facility Address:
609 NEWSOME ROAD
SALISBURY, NC
ZIP 28146
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Facility Phone Number: 704 925-8041

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1285779793

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	34D2197969
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RHA HEALTH SERVICES LLC - BRENTWOOD
Street	609 NEWSOME ROAD
City	SALISBURY
State	NC
ZIP	28146
Phone	704 925-8041
CertificateType	4
CertificateEffectiveDate	10/29/2022
CertificateExpirationDate	10/28/2024
FacilityType	Waiver

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