42D0881169 CLIA NUMBER - WHITE OAK MANOR ROCK HILL

Laboratory Demographics

  • CLIA Code: 42D0881169
  • Facility Name: WHITE OAK MANOR ROCK HILL
  • Facility Address: 1915 EBENEZER RD
    ROCK HILL, SC
    ZIP 29732
  • Facility Phone: 803 366-8155
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN BARNETT
  • NPI Number: 1457486474
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D0881169
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WHITE OAK MANOR ROCK HILL
Street 1915 EBENEZER RD
City ROCK HILL
State SC
ZIP 29732
Phone 803 366-8155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. STEVEN BARNETT

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