34D2211960 CLIA NUMBER - RHA HEALTH SERVICES - OXFORD HOUSE

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Laboratory Demographics

CLIA Number: 34D2211960

Facility Name: RHA HEALTH SERVICES - OXFORD HOUSE

Facility Address:
5509 DORSEY ROAD
OXFORD, NC
ZIP 27565
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Facility Phone Number: 252 643-3210

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1700083243

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	34D2211960
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RHA HEALTH SERVICES - OXFORD HOUSE
Street	5509 DORSEY ROAD
City	OXFORD
State	NC
ZIP	27565
Phone	252 643-3210
CertificateType	4
CertificateEffectiveDate	2/2/2023
CertificateExpirationDate	2/1/2025
FacilityType	Waiver

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