42D0992878 CLIA NUMBER - RAPHA RESIDENTIAL CARE

Laboratory Demographics

  • CLIA Code: 42D0992878
  • Facility Name: RAPHA RESIDENTIAL CARE
  • Facility Address: 3959 FISH HATCHERY RD
    GASTON, SC
    ZIP 29053
  • Facility Phone: 803 755-6541
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEBRA A. WILLIAMS
  • NPI Number: 1619137114
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 42D0992878
LAB Type Assisted Living Facility
Facility Name RAPHA RESIDENTIAL CARE
Street 3959 FISH HATCHERY RD
City GASTON
State SC
ZIP 29053
Phone 803 755-6541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Assisted Living Facility
Lab Director DEBRA A. WILLIAMS

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