34D2245160 CLIA NUMBER - RHA HEALTH SERVICES, LLC - LAKE BRANDT GROUP HOME

Laboratory Demographics

CLIA Code: 34D2245160
Facility Name: RHA HEALTH SERVICES, LLC - LAKE BRANDT GROUP HOME
Facility Address: 6184 LAKE BRANDT ROAD
GREENSBORO, NC
ZIP 27455
Facility Phone: 336 885-8090
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: JENNIFER PARRISH
NPI Number: 1700167434
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2245160
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RHA HEALTH SERVICES, LLC - LAKE BRANDT GROUP HOME
Street	6184 LAKE BRANDT ROAD
City	GREENSBORO
State	NC
ZIP	27455
Phone	336 885-8090
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/9/2023
Certificate Expiration Date	12/8/2025
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	JENNIFER PARRISH

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