34D2104530 CLIA NUMBER - WAYNE COUNTY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 34D2104530
  • Facility Name: WAYNE COUNTY DETENTION CENTER
  • Facility Address: 207 EAST CHESTNUT STREET
    GOLDSBORO, NC
    ZIP 27533
  • Facility Phone: 423 553-5635
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: CHANSON A. DEVAUL
  • NPI Number: 1154363380
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 34D2104530
LAB Type Other - JAIL MEDICAL UNIT
Facility Name WAYNE COUNTY DETENTION CENTER
Street 207 EAST CHESTNUT STREET
City GOLDSBORO
State NC
ZIP 27533
Phone 423 553-5635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Other - JAIL MEDICAL UNIT
Lab Director CHANSON A. DEVAUL

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