34D2281699 CLIA NUMBER - RHA HEALTH SERVICES, LLC - CHURCH STREET

Laboratory Demographics

  • CLIA Code: 34D2281699
  • Facility Name: RHA HEALTH SERVICES, LLC - CHURCH STREET
  • Facility Address: 6962 CHURCH STREET
    GRIFTON, NC
    ZIP 28530
  • Facility Phone: 252 524-3723
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: CYNTHIA STEVENS
  • NPI Number: 1659038057
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2281699
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RHA HEALTH SERVICES, LLC - CHURCH STREET
Street 6962 CHURCH STREET
City GRIFTON
State NC
ZIP 28530
Phone 252 524-3723
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director CYNTHIA STEVENS

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