34D2324914 CLIA NUMBER - RHA HEALTH SERVICES, LLC-RAYSIDE B GROUP HOME

Laboratory Demographics

  • CLIA Code: 34D2324914
  • Facility Name: RHA HEALTH SERVICES, LLC-RAYSIDE B GROUP HOME
  • Facility Address: 619 RAY AVENUE
    HENDERSONVILLE, NC
    ZIP 28792
  • Facility Phone: 704 872-3257
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: TARA STODDARD
  • NPI Number: 1700911930
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 34D2324914
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RHA HEALTH SERVICES, LLC-RAYSIDE B GROUP HOME
Street 619 RAY AVENUE
City HENDERSONVILLE
State NC
ZIP 28792
Phone 704 872-3257
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director TARA STODDARD

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