34D2211953 CLIA NUMBER - RHA HEALTH SERVICES - WHITEWALL

Laboratory Demographics

CLIA Code: 34D2211953
Facility Name: RHA HEALTH SERVICES - WHITEWALL
Facility Address: 4808 WHTEHALL STREET
RALEIGH, NC
ZIP 27604
Facility Phone: 252 643-3210
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: BRIDGET EATON
NPI Number: 1265567739
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2211953
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RHA HEALTH SERVICES - WHITEWALL
Street	4808 WHTEHALL STREET
City	RALEIGH
State	NC
ZIP	27604
Phone	252 643-3210
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/2/2025
Certificate Expiration Date	2/1/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	BRIDGET EATON

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