34D2033883 CLIA NUMBER - LIFE, INC MINUTEMAN

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Field Name	Field Value
CLIA Number	34D2033883
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	LIFE, INC MINUTEMAN
Street	388 MINUTEMAN LANE
City	WASHINGTON
State	NC
ZIP	27889
Phone	252 946-5563
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/13/2023
Certificate Expiration Date	12/12/2025
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	STACEY L. LELAND

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