34D2048304 CLIA NUMBER - WILSON COUNTY GROUP HOME #4

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CLIA Record

Field Name Field Value
CLIA Number 34D2048304
LAB Type Other - GROUP HOME
Facility Name WILSON COUNTY GROUP HOME #4
Street 1502 PINEVIEW AVENUE
City WILSON
State NC
ZIP 27896
Phone 252 360-1806
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