34D2327416 CLIA NUMBER - RHA HEALTH SERVICES - FAIRLANE GROUP HOME

Laboratory Demographics

  • CLIA Code: 34D2327416
  • Facility Name: RHA HEALTH SERVICES - FAIRLANE GROUP HOME
  • Facility Address: 103 FAIRLANE
    GREENVILLE, NC
    ZIP 27834
  • Facility Phone: 252 364-8309
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: CYNTHIA STEVENS
  • NPI Number: 1871656504
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2327416
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RHA HEALTH SERVICES - FAIRLANE GROUP HOME
Street 103 FAIRLANE
City GREENVILLE
State NC
ZIP 27834
Phone 252 364-8309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director CYNTHIA STEVENS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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