34D2048291 CLIA NUMBER - WILSON COUNTY GROUP HOME #1

Laboratory Demographics

  • CLIA Code: 34D2048291
  • Facility Name: WILSON COUNTY GROUP HOME #1
  • Facility Address: 308 BRAGG STREET NE
    WILSON, NC
    ZIP 27893
  • Facility Phone: 252 360-1810
  • Facility Type: Other - GROUP HOME
  • Facility Type: Waiver
  • Lab Director: KELLEY WEEKLEY
  • NPI Number: 1851515977
  • Taxonomy: 177F00000X - Lodging

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CLIA Record

Field Name Field Value
CLIA Number 34D2048291
LAB Type Other - GROUP HOME
Facility Name WILSON COUNTY GROUP HOME #1
Street 308 BRAGG STREET NE
City WILSON
State NC
ZIP 27893
Phone 252 360-1810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Other - GROUP HOME
Lab Director KELLEY WEEKLEY

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