34D2019541 CLIA NUMBER - WILSON HOUSE

Laboratory Demographics

  • CLIA Code: 34D2019541
  • Facility Name: WILSON HOUSE
  • Facility Address: 1800 MLK JR PARKWAY SE
    WILSON, NC
    ZIP 27894
  • Facility Phone: 252 237-4243
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DONNA DAWSON
  • NPI Number: 1679621841
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2019541
LAB Type Assisted Living Facility
Facility Name WILSON HOUSE
Street 1800 MLK JR PARKWAY SE
City WILSON
State NC
ZIP 27894
Phone 252 237-4243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Assisted Living Facility
Lab Director DONNA DAWSON

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