34D2122912 CLIA NUMBER - LIFE, INC DDA GROUP HOME - LUKE STREET

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CLIA Record

Field Name Field Value
CLIA Number 34D2122912
LAB Type Other - DDA FOR INDIVIDUALS
Facility Name LIFE, INC DDA GROUP HOME - LUKE STREET
Street 200 LUKE STREET
City EDENTON
State NC
ZIP 27932
Phone 252 462-8746
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Other - DDA FOR INDIVIDUALS
Lab Director SANDRA DUKE

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