34D2294988 CLIA NUMBER - RHA HEALTH SERVICES - SPARTA ROAD

Laboratory Demographics

  • CLIA Code: 34D2294988
  • Facility Name: RHA HEALTH SERVICES - SPARTA ROAD
  • Facility Address: 77 SPARTA ROAD
    NORTH WILKESBORO, NC
    ZIP 28659
  • Facility Phone: 252 643-3210
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: KRISTA ROYAL
  • NPI Number: 1043631161
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2294988
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RHA HEALTH SERVICES - SPARTA ROAD
Street 77 SPARTA ROAD
City NORTH WILKESBORO
State NC
ZIP 28659
Phone 252 643-3210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director KRISTA ROYAL

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