34D2060885 CLIA NUMBER - GENTLE HANDS I

Laboratory Demographics

CLIA Code: 34D2060885
Facility Name: GENTLE HANDS I
Facility Address: 1615 WASHINGTON STREET
WILSON, NC
ZIP 27893
Facility Phone: 252 991-2838
Facility Type: Other - 5600 C GROUP HOME
Facility Type: Waiver
Lab Director: CYNTHIA L. POWELL
NPI Number: 1972807915
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2060885
LAB Type	Other - 5600 C GROUP HOME
Facility Name	GENTLE HANDS I
Street	1615 WASHINGTON STREET
City	WILSON
State	NC
ZIP	27893
Phone	252 991-2838
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	6/19/2025
Certificate Expiration Date	6/18/2027
Facility Type	Other - 5600 C GROUP HOME
Lab Director	CYNTHIA L. POWELL

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