34D2019504 CLIA NUMBER - WILLIAMSTON HOUSE

Laboratory Demographics

  • CLIA Code: 34D2019504
  • Facility Name: WILLIAMSTON HOUSE
  • Facility Address: 160 SANTREE DRIVE
    WILLIAMSTON, NC
    ZIP 27892
  • Facility Phone: 252 792-6969
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JAMES JANICE
  • NPI Number: 1801882949
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2019504
LAB Type Assisted Living Facility
Facility Name WILLIAMSTON HOUSE
Street 160 SANTREE DRIVE
City WILLIAMSTON
State NC
ZIP 27892
Phone 252 792-6969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Assisted Living Facility
Lab Director JAMES JANICE

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