34D2105995 CLIA NUMBER - WOODLAND HOUSE

Laboratory Demographics

  • CLIA Code: 34D2105995
  • Facility Name: WOODLAND HOUSE
  • Facility Address: 110 EAST BOSTON AVENUE, PO BOX 887
    PINEBLUFF, NC
    ZIP 28373
  • Facility Phone: 910 281-5327
  • Facility Type: Other - PSYCHOSOCIAL REHAB
  • Facility Type: Waiver
  • Lab Director: WILLIAM PONE
  • NPI Number: 1376874313
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2105995
LAB Type Other - PSYCHOSOCIAL REHAB
Facility Name WOODLAND HOUSE
Street 110 EAST BOSTON AVENUE, PO BOX 887
City PINEBLUFF
State NC
ZIP 28373
Phone 910 281-5327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Other - PSYCHOSOCIAL REHAB
Lab Director WILLIAM PONE

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