42D2128509 CLIA NUMBER - NHC HEALTHCARE/ NORTH GROVE, LLC DBA WHITE OAK AT NORTH GROVE

Laboratory Demographics

  • CLIA Code: 42D2128509
  • Facility Name: NHC HEALTHCARE/ NORTH GROVE, LLC DBA WHITE OAK AT NORTH GROVE
  • Facility Address: 290 NORTH GROVE MEDICAL PARK DRIVE
    SPARTANBURG, SC
    ZIP 29303
  • Facility Phone: (864) 345-1700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PHILLIP TONEY
  • NPI Number: 1457197733
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D2128509
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NHC HEALTHCARE/ NORTH GROVE, LLC DBA WHITE OAK AT NORTH GROVE
Street 290 NORTH GROVE MEDICAL PARK DRIVE
City SPARTANBURG
State SC
ZIP 29303
Phone 8643451700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PHILLIP TONEY

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This page was last updated on: 5/18/2026