34D2315102 CLIA NUMBER - RHA HEALTH SERVICES, LLC- BRADLEY TRAIL

Laboratory Demographics

  • CLIA Code: 34D2315102
  • Facility Name: RHA HEALTH SERVICES, LLC- BRADLEY TRAIL
  • Facility Address: 131 BRADLEY TRAIL
    GASTONIA, NC
    ZIP 28056
  • Facility Phone: 980 421-7316
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: CASSIE ISRAEL
  • NPI Number: 1235847484
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2315102
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RHA HEALTH SERVICES, LLC- BRADLEY TRAIL
Street 131 BRADLEY TRAIL
City GASTONIA
State NC
ZIP 28056
Phone 980 421-7316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director CASSIE ISRAEL

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