34D2304730 CLIA NUMBER - RHA HEALTH SERVICES, LLC-CRESTVIEW

Laboratory Demographics

CLIA Code: 34D2304730
Facility Name: RHA HEALTH SERVICES, LLC-CRESTVIEW
Facility Address: 166 MASSAPOAG ROAD
LINCOLNTON, NC
ZIP 28092
Facility Phone: 704 864-3450
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: CASSIE ISREAL
NPI Number: 1609902964
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2304730
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RHA HEALTH SERVICES, LLC-CRESTVIEW
Street	166 MASSAPOAG ROAD
City	LINCOLNTON
State	NC
ZIP	28092
Phone	704 864-3450
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	5/17/2024
Certificate Expiration Date	5/16/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	CASSIE ISREAL

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