49D0891562 CLIA NUMBER - HOLLY MANOR REHAB AND NURSING

Laboratory Demographics

  • CLIA Code: 49D0891562
  • Facility Name: HOLLY MANOR REHAB AND NURSING
  • Facility Address: 2003 COBB ST
    FARMVILLE, VA
    ZIP 23901
  • Facility Phone: (434) 392-6106
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DENETRA ROBINSON

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CLIA Record

Field Name Field Value
CLIA Number 49D0891562
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOLLY MANOR REHAB AND NURSING
Street 2003 COBB ST
City FARMVILLE
State VA
ZIP 23901
Phone 4343926106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DENETRA ROBINSON

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