34D2283086 CLIA NUMBER - RHA HEALTH SERVICES, LLC - MOSS LANE 2

Laboratory Demographics

  • CLIA Code: 34D2283086
  • Facility Name: RHA HEALTH SERVICES, LLC - MOSS LANE 2
  • Facility Address: 42414 MOSS LANE
    NEW LONDON, NC
    ZIP 28127
  • Facility Phone: 704 986-4118
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: VANESSA BURDEN
  • NPI Number: 1639760515
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2283086
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RHA HEALTH SERVICES, LLC - MOSS LANE 2
Street 42414 MOSS LANE
City NEW LONDON
State NC
ZIP 28127
Phone 704 986-4118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director VANESSA BURDEN

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