34D2197978 CLIA NUMBER - RHA HEALTH SERVICES LLC - OLDENBURG

Laboratory Demographics

CLIA Code: 34D2197978
Facility Name: RHA HEALTH SERVICES LLC - OLDENBURG
Facility Address: 1005 OKLAHOMA DRIVE
KANNAPOLIS, NC
ZIP 28083
Facility Phone: 704 925-8041
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: KATHERINE BENTON
NPI Number: 1538449988
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2197978
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RHA HEALTH SERVICES LLC - OLDENBURG
Street	1005 OKLAHOMA DRIVE
City	KANNAPOLIS
State	NC
ZIP	28083
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