34D0994169 CLIA NUMBER - LIFE INC- GREEN TEE GROUP HOME

Laboratory Demographics

Get Directions

Field Name	Field Value
CLIA Number	34D0994169
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	LIFE INC- GREEN TEE GROUP HOME
Street	1320 GREEN TEE LANE
City	ROCKY MOUNT
State	NC
ZIP	27804
Phone	252 972-6975
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/6/2023
Certificate Expiration Date	12/5/2025
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	SANDRA DUKE RN

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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