34D2206696 CLIA NUMBER - RHA HEALTH SERVICES, LLC ROCK CREEK GROUP HOME

Laboratory Demographics

  • CLIA Code: 34D2206696
  • Facility Name: RHA HEALTH SERVICES, LLC ROCK CREEK GROUP HOME
  • Facility Address: 174 HOOTS DRIVE
    WINSTON SALEM, NC
    ZIP 27107
  • Facility Phone: 336 944-7206
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: SHEILA SHAW
  • NPI Number: 1235292962
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 34D2206696
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RHA HEALTH SERVICES, LLC ROCK CREEK GROUP HOME
Street 174 HOOTS DRIVE
City WINSTON SALEM
State NC
ZIP 27107
Phone 336 944-7206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SHEILA SHAW

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