34D2297547 CLIA NUMBER - ROCKINGHAM YOUTH DEVELOPMENT CENTER

Laboratory Demographics

  • CLIA Code: 34D2297547
  • Facility Name: ROCKINGHAM YOUTH DEVELOPMENT CENTER
  • Facility Address: 424 ELLIOTT RD
    REIDSVILLE, NC
    ZIP 27320
  • Facility Phone: 919 630-0710
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: AMANDA K. TRIPLETT
  • NPI Number: 1922083146
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 34D2297547
LAB Type School/Student Health Service
Facility Name ROCKINGHAM YOUTH DEVELOPMENT CENTER
Street 424 ELLIOTT RD
City REIDSVILLE
State NC
ZIP 27320
Phone 919 630-0710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type School/Student Health Service
Lab Director AMANDA K. TRIPLETT

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This page was last updated on: 3/20/2025