34D2197969 CLIA NUMBER - RHA HEALTH SERVICES LLC - BRENTWOOD

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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
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/29/2024
Certificate Expiration Date	10/28/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	KATHERINE BENTON

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