34D2053377 CLIA NUMBER - BEAUFORT COUNTY DEVELOPMENTAL CENTER, INC

Laboratory Demographics

CLIA Code: 34D2053377
Facility Name: BEAUFORT COUNTY DEVELOPMENTAL CENTER, INC
Facility Address: 1534 W 5TH STREET
WASHINGTON, NC
ZIP 27889
Facility Phone: 252 946-0151
Facility Type: Other - COMMUNITY REHAB GRP HOME
Facility Type: Waiver
Lab Director: ELENA G. CAMERON
NPI Number: 1477684116
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2053377
LAB Type	Other - COMMUNITY REHAB GRP HOME
Facility Name	BEAUFORT COUNTY DEVELOPMENTAL CENTER, INC
Street	1534 W 5TH STREET
City	WASHINGTON
State	NC
ZIP	27889
Phone	252 946-0151
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/30/2025
Certificate Expiration Date	1/29/2027
Facility Type	Other - COMMUNITY REHAB GRP HOME
Lab Director	ELENA G. CAMERON

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