34D2074987 CLIA NUMBER - LIFE, DARE COUNTY GROUP HOME

Laboratory Demographics

  • CLIA Code: 34D2074987
  • Facility Name: LIFE, DARE COUNTY GROUP HOME
  • Facility Address: 185 ROANOKE TRAIL
    MANTEO, NC
    ZIP 27954
  • Facility Phone: 252 473-2137
  • Facility Type: Other - SUPERVISED LIVING HOME
  • Facility Type: Waiver
  • Lab Director: SANDRA G. DUKE
  • NPI Number: 1518007483
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2074987
LAB Type Other - SUPERVISED LIVING HOME
Facility Name LIFE, DARE COUNTY GROUP HOME
Street 185 ROANOKE TRAIL
City MANTEO
State NC
ZIP 27954
Phone 252 473-2137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Other - SUPERVISED LIVING HOME
Lab Director SANDRA G. DUKE

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