34D2041058 CLIA NUMBER - BAILEYS RESPITE CARE #2

Laboratory Demographics

  • CLIA Code: 34D2041058
  • Facility Name: BAILEYS RESPITE CARE #2
  • Facility Address: 1315 COLONIAL AVE
    WILSON, NC
    ZIP 27896
  • Facility Phone: 252 991-3119
  • Facility Type: Other - MH GROUP HOME 5600-C
  • Facility Type: Waiver
  • Lab Director: APRIL BUTCHER
  • NPI Number: 1174783971
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2041058
LAB Type Other - MH GROUP HOME 5600-C
Facility Name BAILEYS RESPITE CARE #2
Street 1315 COLONIAL AVE
City WILSON
State NC
ZIP 27896
Phone 252 991-3119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Other - MH GROUP HOME 5600-C
Lab Director APRIL BUTCHER

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