34D2006593 CLIA NUMBER - WALTER B JONES CENTER

Laboratory Demographics

  • CLIA Code: 34D2006593
  • Facility Name: WALTER B JONES CENTER
  • Facility Address: 2577 WEST 5TH ST
    GREENVILLE, NC
    ZIP 27834
  • Facility Phone: 252 707-5059
  • Facility Type: Other - STATE ALCOHOL & DRUG CTR
  • Facility Type: Waiver
  • Lab Director: SONYA B. LONGEST
  • NPI Number: 1326608928
  • Taxonomy: 225200000X - Physical Therapy Assistant

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CLIA Record

Field Name Field Value
CLIA Number 34D2006593
LAB Type Other - STATE ALCOHOL & DRUG CTR
Facility Name WALTER B JONES CENTER
Street 2577 WEST 5TH ST
City GREENVILLE
State NC
ZIP 27834
Phone 252 707-5059
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Other - STATE ALCOHOL & DRUG CTR
Lab Director SONYA B. LONGEST

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