34D2298396 CLIA NUMBER - RHA HEALTH SERVICES, LLC--NORTHWOOD GROUP HOME

Laboratory Demographics

  • CLIA Code: 34D2298396
  • Facility Name: RHA HEALTH SERVICES, LLC--NORTHWOOD GROUP HOME
  • Facility Address: 2708 NORTHWOOD DRIVE
    GOLDSBORO, NC
    ZIP 27534
  • Facility Phone: 919 288-2560
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: MELINDA GARDNER
  • NPI Number: 1780743815
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 34D2298396
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RHA HEALTH SERVICES, LLC--NORTHWOOD GROUP HOME
Street 2708 NORTHWOOD DRIVE
City GOLDSBORO
State NC
ZIP 27534
Phone 919 288-2560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MELINDA GARDNER

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This page was last updated on: 6/4/2025