34D2224878 CLIA NUMBER - RHA HEALTH SERVICES - 23RD STREET

Laboratory Demographics

CLIA Number: 34D2224878

Facility Name: RHA HEALTH SERVICES - 23RD STREET

Facility Address:
804 EAST 23RD STREET
NEWTON, NC
ZIP 28658
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Facility Phone Number: 828 428-0061

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1003951542

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	34D2224878
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RHA HEALTH SERVICES - 23RD STREET
Street	804 EAST 23RD STREET
City	NEWTON
State	NC
ZIP	28658
Phone	828 428-0061
CertificateType	4
CertificateEffectiveDate	5/17/2023
CertificateExpirationDate	5/16/2025
FacilityType	Waiver

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