34D2033932 CLIA NUMBER - LIFE INC BEAUFORT HEIGHTS GROUP HOME

Laboratory Demographics

  • CLIA Code: 34D2033932
  • Facility Name: LIFE INC BEAUFORT HEIGHTS GROUP HOME
  • Facility Address: 103 CIRCLE STREET
    WASHINGTON, NC
    ZIP 27889
  • Facility Phone: 252 946-4133
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: BILLIE JO H. MARROW
  • NPI Number: 1013061944
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 34D2033932
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name LIFE INC BEAUFORT HEIGHTS GROUP HOME
Street 103 CIRCLE STREET
City WASHINGTON
State NC
ZIP 27889
Phone 252 946-4133
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 BILLIE JO H. MARROW

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