34D2122378 CLIA NUMBER - LIFE, INC - COKE AVENUE GROUP HOME

Laboratory Demographics

Get Directions

Field Name	Field Value
CLIA Number	34D2122378
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	LIFE, INC - COKE AVENUE GROUP HOME
Street	255 COKE AVENUE
City	EDENTON
State	NC
ZIP	27932
Phone	252 482-8121
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/28/2024
Certificate Expiration Date	11/27/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	SANDRA DUKE

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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