34D0984920 CLIA NUMBER - LIFE INC-SLATESTONE GROUP HOME

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Field Name	Field Value
CLIA Number	34D0984920
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	LIFE INC-SLATESTONE GROUP HOME
Street	332 SLATESTONE RD
City	WASHINGTON
State	NC
ZIP	27889
Phone	252 946-9055
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/3/2025
Certificate Expiration Date	4/2/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	JANICE M. BOYD

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